| NPI | 1245452176 |
|---|---|
| Professional Name | MOLLIE ELIZABETH GRISWOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: NC 8652) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8652) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-03-01 |