Individual
DR. DEREK A SIEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1833G FOREST DR, ANNAPOLIS, MD 21401-4429
(410) 263-7338
Mailing address
1833G FOREST DR, ANNAPOLIS, MD 21401-4429
(410) 263-7338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9284
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467084100
—
MD
Enumeration date
08/02/2006
Last updated
03/18/2015
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