DEREK R PREBLE

SANTA FE, NM
NPI1013574896
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  5991972-9922)
Enumeration Date2019-05-28
Last Update Date2019-05-28
Business Address
DEREK R PREBLE DMD
3875 CERRILLOS RD
SANTA FE, NM 87507-4145
Phone number: 801-971-5881
Mailing Address
DEREK R PREBLE DMD
4460 S ROGER DR
SALT LAKE CITY, UT 84124-3847
Phone number: 801-971-5881