Douglas Norman Dederich, DDS, PHD

NPI #1932949203 in Glendale, Wisconsin

Provider Information

NPI Number
1932949203
Entity Type
Individual
Name
Douglas Norman Dederich, DDS, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
DDS, PHD
Enumeration Date
May 25, 2024
Last Updated
May 25, 2024

Practice Location

Address
500 W SILVER SPRING DR STE K250
ZIP Code
53217-5062
Phone
(414) 963-2301

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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