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Individual

CAROLINE MAGDY MIKHAEL GIRGIUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
1500 RESEARCH FOREST DR STE 220, SHENANDOAH, TX 77381-7300
(310) 775-0414
Mailing address
40307 MIKLICH DR, MURRIETA, CA 92563-4352
(310) 775-0414

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34612
TX

Other

Enumeration date
01/15/2019
Last updated
01/15/2019
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