Individual
CASEY JOHN GRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4323 HILL ST, COLUMBIA, SC 29207-6022
(757) 758-4209
Mailing address
209 SUNRISE BLUFF LN, SMITHFIELD, VA 23430-2319
(757) 758-4209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205333
CO
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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