Derek Hiam, Dds, Pllc | |
513 Main St Lisbon ND 58054-4145 | |
(701) 683-5821 | |
Not Available |
Full Name | Derek Hiam, Dds, Pllc |
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Speciality | Clinic/center - Dental |
Location | 513 Main St, Lisbon, North Dakota |
Authorized Official Name and Position | Derek Hiam (DENTIST) |
Authorized Official Contact | 7013080151 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Derek Hiam, Dds, Pllc 513 Main St Lisbon ND 58054-4145 Ph: () - | Derek Hiam, Dds, Pllc 513 Main St Lisbon ND 58054-4145 Ph: (701) 683-5821 |
NPI Number | 1891261061 |
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Provider Enumeration Date | 10/15/2018 |
Last Update Date | 10/15/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891261061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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