DR. Gay M Derderian, DDS

NPI #1548356702 in Milwaukee, Wisconsin

Provider Information

NPI Number
1548356702
Entity Type
Individual
Name
DR. Gay M Derderian, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
DDS
Enumeration Date
Oct 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1801 WEST WISCONSIN AVE
ZIP Code
53233
Phone
(414) 288-0788

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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