Individual
FABIOLA K GIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6552 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-0307
Mailing address
1112 BLUFIELD AVE, BRANDON, FL 33511-8801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23107
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2017
Last updated
12/05/2017
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