Provider Demographics
NPI:1780195024
Name:DEVIN GIRON, DDS
Entity type:Organization
Organization Name:DEVIN GIRON, DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:GIRON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:505-715-8405
Mailing Address - Street 1:2740 TRAMWAY CIR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-1205
Mailing Address - Country:US
Mailing Address - Phone:505-715-8405
Mailing Address - Fax:
Practice Address - Street 1:2 CALLE MEDICO STE 3
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4785
Practice Address - Country:US
Practice Address - Phone:505-992-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD3314261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental