DERRICK RANIER CHAMPION

DORADO, PR
NPI1336353283
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  053036)
Enumeration Date2007-05-10
Last Update Date2015-11-23
Business Address
Dr. DERRICK RANIER CHAMPION D.D.S.
207 CALLE METIS
DORADO, PR 00646-4618
Phone number: 787-369-7600
Mailing Address
Dr. DERRICK RANIER CHAMPION D.D.S.
CARRETERA 693 KM 13.7 SUITE 201B PLAZA DEL MAR SHOPPING CENTER
VEGA ALTA, PR 00692
Phone number: 787-369-7600
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