Individual
DEREK DEMIANCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
357 S GULPH RD STE 110, KING OF PRUSSIA, PA 19406-3174
(610) 337-2325
Mailing address
357 S GULPH RD STE 110, KING OF PRUSSIA, PA 19406-3174
(610) 337-2325
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040025
PA
1223G0001X
General Practice Dentistry
Primary
DS040025
PA
Other
Enumeration date
05/01/2013
Last updated
12/30/2020
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