DARYL ALVAN FEDAK

SPRINGFIELD, OR
NPI1033117288
Professional NameDARYL ALVAN FEDAK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7742)
Enumeration Date2005-07-12
Last Update Date2007-07-08
Business Address
Mr. DARYL ALVAN FEDAK
5892 MAIN ST STE 1
SPRINGFIELD, OR 97478-5496
Phone number: 541-741-7800
Mailing Address
Mr. DARYL ALVAN FEDAK
5892 MAIN ST STE 1
SPRINGFIELD, OR 97478-5496
Phone number: 541-741-7800
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