Individual
DR. RICHARD E. DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3 MOUNTAIN AVE, MENDHAM, NJ 07945-1424
(973) 543-6666
(973) 543-5701
Mailing address
3 MOUNTAIN AVE, MENDHAM, NJ 07945-1424
(973) 543-6666
(973) 543-5701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI00808700
NJ
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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