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1013574896
DEREK R PREBLE
SANTA FE, NM
NPI
1013574896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 5991972-9922)
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
DEREK R PREBLE DMD
3875 CERRILLOS RD
SANTA FE, NM 87507-4145
Phone number: 801-971-5881
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Mailing Address
DEREK R PREBLE DMD
4460 S ROGER DR
SALT LAKE CITY, UT 84124-3847
Phone number: 801-971-5881
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