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 |