Individual
DR. DERRICK RANIER CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
207 CALLE METIS, DORADO, PR 00646-4618
(787) 369-7600
(787) 369-7601
Mailing address
CARRETERA 693 KM 13.7 SUITE 201B, PLAZA DEL MAR SHOPPING CENTER, VEGA ALTA, PR 00692
(787) 369-7600
(787) 369-7601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053036
NY
Other
Enumeration date
05/10/2007
Last updated
11/23/2015
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