Most Relevant Information
Provider Data
| NPI Number: | 1003811753 |
| Provider Name: | GRIFFIN LAVELLE DEEN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 4346 |
Most Important Dates
| Enumeration Date: | 06/18/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
122 E 21ST AVE
COVINGTON
LA
704332814
Practice Location Phone/Fax
| Phone: | 9858679122 |
| Fax: | 9858679169 |
Provider Mailing Location
122 E 21ST AVE
COVINGTON
LA
704332814
Provider Mailing Phone/Fax
| Phone: | 9858679122 |
| Fax: | 9858679169 |