Organization
DEREK A SIEMON DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK A SIEMON DDS (OWNER)
(410) 263-7338
Entity
Organization
Contact information
Practice address
1833 G FOREST DR, ANNAPOLIS, MD 21401
(410) 263-7338
(410) 263-7339
Mailing address
1833 G FOREST DR, ANNAPOLIS, MD 21401
(410) 263-7338
(410) 263-7339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
03/18/2015
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