DR. Anthony Charles Derrick, DDS

NPI #1194764027 in Longwood, Florida

Provider Information

NPI Number: 1194764027
Entity Type: Individual
Name: DR. Anthony Charles Derrick, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 6, 2006
Last Updated: Apr 9, 2009

Practice Location

Address: 2633 W STATE ROAD 434
City: Longwood
State: Florida
ZIP Code: 32779-4878
Phone: (407) 788-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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