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Individual

DR. DERRICK HYUN HA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4701 RANDOLPH RD STE 210, ROCKVILLE, MD 20852-2257
(301) 881-3368
(301) 881-3096
Mailing address
4701 RANDOLPH RD STE 210, ROCKVILLE, MD 20852-2257
(301) 881-3368
(301) 881-3096

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14039
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015397400
MD
Enumeration date
05/06/2007
Last updated
02/13/2020
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