Individual
DEREK IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12700 N FEATHERWOOD DR STE 290, HOUSTON, TX 77034-4496
(819) 494-4562
Mailing address
2900 UNIVERSITY AVE SE APT 510, MINNEAPOLIS, MN 55414-3738
(319) 321-6426
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
37046
TX
Other
Enumeration date
03/28/2018
Last updated
03/16/2022
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