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1255909628
DERRELL WASHINGTON
BERKELEY, CA
NPI
1255909628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 106166)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
DERRELL WASHINGTON DDS
1503 ALCATRAZ AVENUE
BERKELEY, CA 94703
Phone number: 510-653-6424
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Mailing Address
DERRELL WASHINGTON DDS
1503 ALCATRAZ AVENUE
BERKELEY, CA 94703-5472
Phone number: 317-809-8034
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