NPI | 1023655503 |
---|---|
Doing Business As | DEREK R SLOAN DDS PLLC |
Entity Type | Organization |
Authorized Contact | DEREK SLOAN Owner 480-492-6399 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-12-04 |
Last Update Date | 2019-12-04 |