Provider Demographics
NPI:1508923947
Name:GIRUC, MARGARET (DDS)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GIRUC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2863 BASTILLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-8816
Mailing Address - Country:US
Mailing Address - Phone:503-362-5281
Mailing Address - Fax:503-362-8075
Practice Address - Street 1:1880 LANCASTER DR NE
Practice Address - Street 2:SUITE 104
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1089
Practice Address - Country:US
Practice Address - Phone:503-587-9949
Practice Address - Fax:503-587-9972
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD8053122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist