DERRICK ALAN ROBERTSON

BUCKSPORT, ME
NPI1821420167
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: ME  IPH67)
Enumeration Date2013-08-08
Last Update Date2013-08-08
Business Address
Mr. DERRICK ALAN ROBERTSON IPDH
166 FRANKLIN ST
BUCKSPORT, ME 04416-4040
Phone number: 207-469-2912
Mailing Address
Mr. DERRICK ALAN ROBERTSON IPDH
166 FRANKLIN ST PO BOX 1898
BUCKSPORT, ME 04416-4040
Phone number: 207-469-2912
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