| Derek A Siemon Dds Llc | |
|
1833 G Forest Dr Annapolis MD 21401 | |
| (410) 263-7338 | |
| (410) 263-7339 |
| Full Name | Derek A Siemon Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1833 G Forest Dr, Annapolis, Maryland |
| Authorized Official Name and Position | Derek A Siemon (OWNER) |
| Authorized Official Contact | 4102637338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek A Siemon Dds Llc 1833 G Forest Dr Annapolis MD 21401 Ph: (410) 263-7338 | Derek A Siemon Dds Llc 1833 G Forest Dr Annapolis MD 21401 Ph: (410) 263-7338 |
| NPI Number | 1497825152 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497825152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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