Individual
OLIVER GIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5757 PACIFIC AVE STE A-145, STOCKTON, CA 95207-5100
(209) 323-7219
Mailing address
38180 CAMARADA LN, MURRIETA, CA 92563-3239
(951) 445-1672
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS105813
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2018
Last updated
07/25/2022
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