Individual
AUTUMN JOY GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12911 120TH AVE NE # 10, KIRKLAND, WA 98034-3027
(425) 821-9833
(425) 821-9443
Mailing address
7255 115TH PL SE, NEWCASTLE, WA 98056-4302
(603) 339-2934
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60303059
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2011
Last updated
10/28/2013
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