Individual
DEREK NG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
610 E CHAPEL ST, SANTA MARIA, CA 93454-4522
(805) 928-0363
(805) 928-1149
Mailing address
610 E CHAPEL ST, SANTA MARIA, CA 93454-4522
(805) 928-0363
(805) 928-1149
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100821
CA
Other
Enumeration date
09/06/2016
Last updated
01/17/2021
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