NANCY DERHAM DENTAL CORPORATION NPI 1255502522

NPI Information

NANCY DERHAM DENTAL CORPORATION is a general practice dentist in Novato, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NANCY DERHAM DENTAL CORPORATION NPI is 1255502522. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1805 NOVATO BLVD
#6
NOVATO, CA
ZIP 94947-934
Phone: (415) 892-4721
Fax: (415) 892-5921

The provider's authorized official is Nancy Derham .
The authorized official title is President and has the following contact phone number (415) 892-4721.

The enumeration date for this NPI number is 3/14/2008 and was last updated on 3/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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