Individual
DR. DINA GIRGIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1485
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1485
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028348
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2010
Last updated
12/07/2011
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