Individual
DR. DEREK WINEGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
803 S 37TH ST, TEMPLE, TX 76504-5279
(254) 778-1990
Mailing address
523 CAMBRIDGE CIR, SLC, UT 84103-4233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24591
TX
122300000X
Dentist
71786569922
UT
Other
Enumeration date
01/05/2009
Last updated
05/06/2010
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