Organization
DANIEL J. DERKSEN, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOHN DERKSEN DDS (MEMBER)
(517) 712-8880
Entity
Organization
Contact information
Practice address
2410 LAKE LANSING RD, LANSING, MI 48912-3659
(517) 371-5342
Mailing address
2410 LAKE LANSING RD, LANSING, MI 48912-3659
(517) 371-5342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019585
MI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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