Individual
DR. JOSE JOAQUIN GIRAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
130 CARR RD, PLYMOUTH, WI 53073-9500
(920) 893-8458
(920) 893-8458
Mailing address
734 N 7TH ST APT 218, SHEBOYGAN, WI 53081-4013
(920) 457-1717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002390
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2019
Last updated
08/19/2020
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