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1194764027
ANTHONY CHARLES DERRICK
LONGWOOD, FL
NPI
1194764027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL 0005472)
Enumeration Date
2006-06-06
Last Update Date
2009-04-09
Business Address
Dr. ANTHONY CHARLES DERRICK dds
2633 W STATE ROAD 434
LONGWOOD, FL 32779-4878
Phone number: 407-788-8400
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Mailing Address
Dr. ANTHONY CHARLES DERRICK dds
2633 W STATE ROAD 434
LONGWOOD, FL 32779-4878
Phone number: 407-788-8400
Copy
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