Individual
DR. JORGE CARLOS GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2680 LAWRENCEVILLE HWY STE 102, DECATUR, GA 30033-2526
(678) 990-8034
Mailing address
2680 LAWRENCEVILLE HWY STE 102, DECATUR, GA 30033-2526
(678) 990-8034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014663
GA
Other
Enumeration date
11/04/2013
Last updated
01/17/2016
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