WILLIAM L DERRICKSON

BRICK, NJ
NPI1154460046
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NJ  22D102125500)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
Dr. WILLIAM L DERRICKSON DDS
15 PRINCETON AVE
BRICK, NJ 08724-3515
Phone number: 732-840-1199
Mailing Address
Dr. WILLIAM L DERRICKSON DDS
418 BRIDLEMERE AVE
INTERLAKEN, NJ 07712-4309
Phone number: 732-660-0071
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