Individual
DR. GRIFFITH ALLEN HAEGGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D5062
AZ
1223P0221X
Pediatric Dentistry
Primary
D5062
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476699
—
AZ
Enumeration date
03/28/2006
Last updated
11/13/2017
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