| NPI | 1760153720 |
|---|---|
| Doing Business As | DERKSEN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MOORE Director Of Revenue Cycle 832-704-4262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-07-26 |