Individual
FRED FRANK GIROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 FERN RIDGE RD SE, STAYTON, OR 97383-1270
(503) 769-4321
Mailing address
101 FERN RIDGE RD SE, STAYTON, OR 97383-1270
(503) 769-4321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5768
OR
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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