MR. Derrick Alan Robertson, IPDH

NPI #1821420167 in Bucksport, Maine

Provider Information

NPI Number: 1821420167
Entity Type: Individual
Name: MR. Derrick Alan Robertson, IPDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: IPDH
Enumeration Date: Aug 8, 2013
Last Updated: Aug 8, 2013

Practice Location

Address: 166 FRANKLIN ST
City: Bucksport
State: Maine
ZIP Code: 04416-4040
Phone: (207) 469-2912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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