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Individual
DR. DEREK DANNY WEIGAND
Active
Individual
DR. DEREK DANNY WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2396
ND
122300000X
Dentist
6034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
473891686
473891686
—
Enumeration date
07/29/2013
Last updated
04/26/2021
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