DR. Jack Dean Griffin JR., DMD PC FAGD

NPI #1558457903 in Eureka, Missouri

Provider Information

NPI Number: 1558457903
Entity Type: Individual
Name: DR. Jack Dean Griffin JR., DMD PC FAGD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD PC FAGD
Enumeration Date: Oct 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 18 HILLTOP VILLAGE CENTER DR
City: Eureka
State: Missouri
ZIP Code: 63025
Phone: (636) 938-6241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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