ALEXANDRA GRIFFIN WILD

CHARLESTON, SC
NPI1316515307
Former NameALEXANDRA GRIFFIN SCHUTTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: SC  DGD.10574)
Additional Taxonomies122300000X Dentist
(Licence: MN  D14619)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-15
Last Update Date2024-02-25
Business Address
Dr. ALEXANDRA GRIFFIN WILD DDS
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number: 843-792-7365
Mailing Address
Dr. ALEXANDRA GRIFFIN WILD DDS
1292 ASPEN WAY
MENDOTA HEIGHTS, MN 55118-1750
Phone number: 651-815-5678