Dr. Gian Matthew Garduque, DDS
Dentist in Albany, OR. Individual provider (NPI-1).
NPI number1982124764
StatusActive
Last updated in NPPESJun 22, 2017
Details
- NPI
- 1982124764
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gian Matthew Garduque
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2017
- Last updated
- Jun 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D10656 | OR | Yes |
Practice location
2350 14th Ave SeAlbany, OR 97322-6800
Phone 563-949-1520
Mailing address
825 Otto StIowa City, IA 52246-2421
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