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Individual

MARY GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 657-6395
Mailing address
3665 ETNA ST, COLUMBUS, OH 43213-1707
(614) 657-6395

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30025072
OH

Other

Enumeration date
05/31/2017
Last updated
05/31/2017
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