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MR. DERRICK ALAN ROBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IPDH

Contact information

Practice address
166 FRANKLIN ST, BUCKSPORT, ME 04416-4040
(207) 469-2912
(207) 469-6370
Mailing address
166 FRANKLIN ST, PO BOX 1898, BUCKSPORT, ME 04416-4040
(207) 469-2912
(207) 469-6370

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
IPH67
ME

Other

Enumeration date
08/08/2013
Last updated
08/08/2013
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