Individual
DR. DEREK THOMAS WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
275 SE CABOT DR STE 201, OAK HARBOR, WA 98277-3715
(360) 675-6404
Mailing address
275 SE CABOT DR STE 201, OAK HARBOR, WA 98277-3715
(360) 675-6404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60372533
WA
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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