Individual
DR. DEREK LEE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1811 ARMY BLVD, JBSA FT SAM HOUSTON, TX 78234-2686
(210) 808-3736
Mailing address
1811 ARMY BLVD, JBSA FT SAM HOUSTON, TX 78234-2686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31248
TX
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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