Individual
DERRICK JOHN VENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1774 COPE AVE E STE 110, MAPLEWOOD, MN 55109-2663
(651) 770-7175
(651) 770-6109
Mailing address
1774 COPE AVE E STE 110, MAPLEWOOD, MN 55109-2663
(651) 770-7175
(651) 770-6109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10146
MN
Other
Enumeration date
01/05/2007
Last updated
03/24/2014
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