Individual
DR. DEBBIE KETHELYN DERISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
713 PIERCE RD, CLIFTON PARK, NY 12065
(518) 373-1181
Mailing address
713 PIERCE RD, CLIFTON PARK, NY 12065
(518) 373-1181
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062339
NY
Other
Enumeration date
06/25/2010
Last updated
12/04/2025
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