Individual
DR. GEORGE T DERENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4201 MILLER RD, WILMINGTON, DE 19802-1914
(302) 354-6699
Mailing address
3079 SANTORINI CT, NAPLES, FL 34119-7708
(302) 354-6699
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
G1-0001106
DE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
G1-0001106
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001060631
—
DE
Enumeration date
01/11/2007
Last updated
04/25/2024
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