DR. Derek Van Dyke, D.M.D.

NPI #1558700666 in Marion, Ohio

Provider Information

NPI Number: 1558700666
Entity Type: Individual
Name: DR. Derek Van Dyke, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 21, 2013
Last Updated: Jun 21, 2013

Practice Location

Address: 1190 INDEPENDENCE AVE
City: Marion
State: Ohio
ZIP Code: 43302-6318
Phone: (740) 382-5535

Specialties & Taxonomy Codes

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

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