DR. Richard E. Derrick, DMD

NPI #1053473926 in Mendham, New Jersey

Provider Information

NPI Number: 1053473926
Entity Type: Individual
Name: DR. Richard E. Derrick, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3 MOUNTAIN AVE
City: Mendham
State: New Jersey
ZIP Code: 07945-1424
Phone: (973) 543-6666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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