DEREK NICHOLAS ASACK

WAREHAM, MA
NPI1700581220
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MA  DN1859702)
Enumeration Date2023-04-03
Last Update Date2023-04-03
Business Address
DEREK NICHOLAS ASACK DMD
53 MAIN ST APT 218
WAREHAM, MA 02571-2163
Phone number: 508-208-1142
Mailing Address
DEREK NICHOLAS ASACK DMD
53 MAIN ST APT 218
WAREHAM, MA 02571-2163
Phone number: 508-208-1142