Derek a Siemon DDS LLC

NPI #1497825152 in Annapolis, Maryland

Provider Information

NPI Number: 1497825152
Entity Type: Organization
Organization Name: Derek a Siemon DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 9, 2006
Last Updated: Mar 18, 2015

Practice Location

Address: 1833 G FOREST DR
City: Annapolis
State: Maryland
ZIP Code: 21401
Phone: (410) 263-7338

Authorized Official

Name: DEREK A SIEMON, DDS
Title: OWNER
Phone: (410) 263-7338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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