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Individual
DR. DERRICK ZECH
Active
Individual
DR. DERRICK ZECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-4215
ID
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21339
MT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
35685
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D-4215-OS
ID
Other
Enumeration date
08/21/2009
Last updated
01/26/2022
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