| Derkasch & Dehkan Dds | |
|
409 Boulevard Kenilworth NJ 07033-1538 | |
| (908) 276-2225 | |
| (908) 276-1550 |
| Full Name | Derkasch & Dehkan Dds |
|---|---|
| Speciality | Dentist |
| Location | 409 Boulevard, Kenilworth, New Jersey |
| Authorized Official Name and Position | William James Derkasch (GENERAL PARTNER) |
| Authorized Official Contact | 9082762225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derkasch & Dehkan Dds 409 Boulevard Kenilworth NJ 07033-1538 Ph: (908) 276-2225 | Derkasch & Dehkan Dds 409 Boulevard Kenilworth NJ 07033-1538 Ph: (908) 276-2225 |
| NPI Number | 1740403435 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740403435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01560000 (New Jersey) | Primary |
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