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Derek Gaudry, DDS

NPI 1225002652 · on the registry since 2006

Practice

Address
2018 Army Blvd, Apt A
Usa Dentac
Ft Sam Houston, TX 78234
Phone
(210) 221-0826

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
122300000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas