Nancy Derham Dental Corporation
NPI #1255502522 in Novato, California
Provider Information
- NPI Number
- 1255502522
- Entity Type
- Organization
- Organization Name
- Nancy Derham Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 14, 2008
- Last Updated
- Mar 14, 2008
Practice Location
- Address
- 1805 NOVATO BLVD
- Address 2
- #6
- City
- Novato
- State
- California
- ZIP Code
- 94947-2934
- Phone
- (415) 892-4721
Authorized Official
- Name
- NANCY DERHAM, DDS
- Title
- PRESIDENT
- Phone
- (415) 892-4721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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