Individual
DEREK J MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
19120 SE 34TH ST STE 104, VANCOUVER, WA 98683-1435
(360) 253-3500
(360) 823-0267
Mailing address
19120 SE 34TH ST STE 104, VANCOUVER, WA 98683-1435
(360) 253-3500
(360) 823-0267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00011060
WA
Other
Enumeration date
08/09/2007
Last updated
05/07/2021
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