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Organization
DEREK R SLOAN DDS PLLC
Active
Organization
DEREK R SLOAN DDS PLLC
Active
Other names
DEREK R SLOAN DDS PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK SLOAN DDS (OWNER)
(480) 492-6399
Entity
Organization
Contact information
Practice address
142 E STATE HIGHWAY 260, PAYSON, AZ 85541-4948
(480) 492-6399
Mailing address
PO BOX 1231, PINE, AZ 85544-1231
(480) 492-6399
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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