Organization
DERKASCH DENTAL HEALTH ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J DERKASCH DDS (PRESIDENT/)
(908) 276-2225
Entity
Organization
Contact information
Practice address
409 BOULEVARD, KENILWORTH, NJ 07033-1538
(908) 276-2225
(908) 276-1550
Mailing address
409 BOULEVARD, KENILWORTH, NJ 07033-1538
(908) 276-2225
(908) 276-1550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01560000
NJ
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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