DERRELL WASHINGTON

BERKELEY, CA
NPI1255909628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  106166)
Enumeration Date2021-06-14
Last Update Date2021-06-14
Business Address
DERRELL WASHINGTON DDS
1503 ALCATRAZ AVENUE
BERKELEY, CA 94703
Phone number: 510-653-6424
Mailing Address
DERRELL WASHINGTON DDS
1503 ALCATRAZ AVENUE
BERKELEY, CA 94703-5472
Phone number: 317-809-8034