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1083119374
DEREK IBARRA
HOUSTON, TX
NPI
1083119374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: TX 37046)
Enumeration Date
2018-03-28
Last Update Date
2022-03-16
Business Address
DEREK IBARRA DDS
12700 N FEATHERWOOD DR STE 290
HOUSTON, TX 77034-4496
Phone number: 819-494-4562
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Mailing Address
DEREK IBARRA DDS
2900 UNIVERSITY AVE SE APT 510
MINNEAPOLIS, MN 55414-3738
Phone number: 319-321-6426
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