Individual
ALBERT GIDDINGS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 CHETCO AVE., BROOKINGS, OR 97415-0053
(541) 971-1828
Mailing address
PO BOX 1858, BROOKINGS, OR 97415-0053
(541) 971-1828
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-087719
OR
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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