Derderian, Gay M
Derderian, Gay M is an individual health care provider with primary practice located at 1801 West Wisconsin Ave , Milwaukee WI 53233. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Derderian, Gay M can be contacted via phone (414) 288-0788.Contact Information
Primary practice address
1801 West Wisconsin Ave
Milwaukee WI 53233
Phone: (414) 288-0788
Fax: (414) 288-0678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 3370015 | Wisconsin |
Profile Details
| NPI number | 1548356702 |
|---|---|
| LBN Legal business name | Derderian, Gay M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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