Search › Georgia › 1223P0700X
Wenona Van Derhei, DDS
NPI 1285720144 · on the registry since 2006
Practice
- Address
- 3590 Braselton Hwy Ste 103
Dacula, GA 30019 - Phone
- (678) 318-3353
- Fax
- (678) 318-3350
- Organisation at this address
- Samuel S Kwon Dmd Pc
Samuel S. Kwon,Dmd-Iv Center Pc
Van Derhei Implant And ProstheticsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1223P0700X
1223P0700X
- Also registered as
- 1223G0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-19
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 Georgia