Organization
CAROLYN GRIFFIN DDS LLC
Active
Other names
Lake Bluff Prosthodontics, Lake Bluff Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN GRIFFIN DDS (DENTIST)
(414) 962-1800
Entity
Organization
Contact information
Practice address
1720 E LAKE BLUFF BLVD, SHOREWOOD, WI 53211-1517
(414) 962-1800
(414) 962-2302
Mailing address
4018 E ALLERTON AVE, CUDAHY, WI 53110-1205
(262) 945-8227
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7054-15
WI
Other
Enumeration date
06/05/2017
Last updated
06/16/2018
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