Individual
DERRELL HOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
42ND MEDICAL GROUP, 300 S. TWINING ST. BLDG 760, MAXWELL AFB, AL 36112
(334) 953-3368
(334) 953-8607
Mailing address
42ND MEDICAL GROUP, 300 S. TWINING ST. BUILDING 760, MAXWELL AFB, AL 36112
(334) 953-3368
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9421
SC
Other
Enumeration date
08/08/2019
Last updated
09/03/2020
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