MR. Daryl Alvan Fedak
NPI #1033117288 in Springfield, Oregon
Provider Information
- NPI Number
- 1033117288
- Entity Type
- Individual
- Name
- MR. Daryl Alvan Fedak
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 12, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5892 MAIN ST
- Address 2
- STE 1
- City
- Springfield
- State
- Oregon
- ZIP Code
- 97478-5496
- Phone
- (541) 741-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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