Individual
DR. DEREK RICHARD DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3400 SQUALICUM PKWY, SUITE 101, BELLINGHAM, WA 98225-1933
(360) 676-6060
(360) 676-8662
Mailing address
3400 SQUALICUM PKWY, SUITE 101, BELLINGHAM, WA 98225-1933
(360) 676-6060
(360) 676-8662
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE7966
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0278932
LABOR AND INDUSTRIES
WA
Enumeration date
03/29/2007
Last updated
10/26/2012
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