Derek Winegar DDS

NPI 1649416157 - Dentist - 122300000X

NPI Details
NPI 1649416157
Gender Male
Enumeration Date 01/05/2009
Last Updated 05/06/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
803 S 37TH ST
TEMPLE TX, 76504-5279, US
Phone (254) 778-1990
Fax
Business Location
523 CAMBRIDGE CIR
SLC UT, 84103-4233, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Utah
License Number 71786569922
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According to our database, Dr. Derek Winegar DDS NPI is 1649416157, taxonomy code is 122300000X and license number is 71786569922, license state is located at Utah. Derek Winegar DDS physically located at 803 S 37th St, Temple TX, 76504-5279. NPI Number Derek Winegar DDS has the Individual type.

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1649416157 NPI number is provided on an as is basis without warranty of any kind. 1649416157 is maintained by the National Plan & Provider Enumeration System. The contents of Derek Winegar DDS are for informational purposes only.