Individual
DR. GRAHAM MICHAEL DERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3905 NATIONAL DR, SUITE 260, BURTONSVILLE, MD 20866-1100
(301) 421-1996
(240) 455-4922
Mailing address
3905 NATIONAL DR, SUITE 260, BURTONSVILLE, MD 20866-1100
(301) 421-1996
(240) 455-4922
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
14033
MD
Other
Enumeration date
03/14/2008
Last updated
01/09/2009
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