Derek Hiam, Dds, Pllc
NPI #1891261061 in Lisbon, North Dakota
Provider Information
- NPI Number
- 1891261061
- Entity Type
- Organization
- Organization Name
- Derek Hiam, Dds, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 15, 2018
- Last Updated
- Oct 15, 2018
Practice Location
- Address
- 513 MAIN ST
- City
- Lisbon
- State
- North Dakota
- ZIP Code
- 58054-4145
- Phone
- (701) 683-5821
Authorized Official
- Name
- DEREK HIAM, DDS
- Title
- DENTIST
- Phone
- (701) 308-0151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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