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1003811753
GRIFFIN LAVELLE DEEN
COVINGTON, LA
NPI
1003811753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 4346)
Enumeration Date
2005-06-18
Last Update Date
2007-07-08
Business Address
-- GRIFFIN LAVELLE DEEN DDS
122 E 21ST AVE
COVINGTON, LA 70433-2814
Phone number: 985-867-9122
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Mailing Address
-- GRIFFIN LAVELLE DEEN DDS
122 E 21ST AVE
COVINGTON, LA 70433-2814
Phone number: 985-867-9122
Copy
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