Derek W. Conklin Dmd PC

NPI #1558635391 in Sandy, Oregon

Provider Information

NPI Number: 1558635391
Entity Type: Organization
Organization Name: Derek W. Conklin Dmd PC
Primary Specialty: Dentist
Enumeration Date: Feb 24, 2012
Last Updated: Feb 24, 2012

Practice Location

Address: 17471 SHELLEY AVE STE A
City: Sandy
State: Oregon
ZIP Code: 97055-8084
Phone: (503) 668-4655

Authorized Official

Name: DR. DEREK W. CONKLIN, DMD
Title: PRESIDENT
Phone: (503) 668-4655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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