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Individual

DR. RANDALL L GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5378 E 225TH ST, NOBLESVILLE, IN 46062-8147
(317) 409-3260
Mailing address
5378 E 225TH ST, NOBLESVILLE, IN 46062-8147
(317) 409-3260

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12009718A
IN
1223G0001X
General Practice Dentistry
Primary
IN12009718
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200139090A
IN
Enumeration date
07/21/2006
Last updated
02/14/2025
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