Individual
DR. DEREK ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
316 PRUDENTIAL DR, BECKLEY, WV 25801-8870
(304) 685-3592
Mailing address
316 PRUDENTIAL DR, BECKLEY, WV 25801-8870
(304) 685-3592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3932
WV
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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