Individual
DEREK ADAM HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1406 KINGSLEY AVE STE B, ORANGE PARK, FL 32073-4528
(904) 264-4519
(904) 264-4510
Mailing address
1406 KINGSLEY AVE STE B, ORANGE PARK, FL 32073-4528
(904) 264-4519
(904) 264-4510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20979
FL
Other
Enumeration date
07/03/2012
Last updated
07/07/2015
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