Samantha Katherine Deridder, DDS

NPI #1619559655 in Nevada City, California

Provider Information

NPI Number: 1619559655
Entity Type: Individual
Name: Samantha Katherine Deridder, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 28, 2021
Last Updated: Aug 22, 2022

Practice Location

Address: 216 S PINE ST
City: Nevada City
State: California
ZIP Code: 95959-2720
Phone: (530) 265-5815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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