Richard M Dervin, D.D.S.

NPI #1457452534 in Shawnee, Kansas

Provider Information

NPI Number
1457452534
Entity Type
Individual
Name
Richard M Dervin, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Sep 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
22002 W 66TH ST
State
Kansas
ZIP Code
66226-3500
Phone
(913) 422-0875

Specialties & Taxonomy Codes

Specialty
Dentist

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