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Dr. Munib Y. Derhalli, DMD
Periodontist in Vancouver, Washington
NPI 1538239728

Munib Y. Derhalli is a Periodontist based in Vancouver, WA and is specialized in Periodontics. Munib Y. Derhalli practices in Vancouver, WA and has the professional credentials of DMD. The NPI Number for Munib Y. Derhalli is 1538239728 and holds a License No. DE7432 (Washington).

The current practice location address for Munib Y. Derhalli is 300 Se 120Th Ave Ste 500, Vancouver, WA and can be reached out via phone at 360-254-8151 and via fax at 360-254-7175. You can also correspond with Munib Y. Derhalli through the mailing address at 300 SE 120TH AVE STE 500, VANCOUVER, WA - 98683-4020 (mailing address contact number: 360-254-8151).

Location: 300 Se 120Th Ave Ste 500, Vancouver, WA, 98683-4020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538239728
Provider Name
Munib Y. Derhalli
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
300 Se 120Th Ave Ste 500, Vancouver, WA, 98683-4020
Phone Number
360-254-8151
Fax Number
360-254-7175
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
300 Se 120Th Ave Ste 500
City
Vancouver
State
Washington
Zip
98683-4020
Phone Number
360-254-8151
Fax Number
360-254-7175
person
Provider Business Mailing Address Details
Address
300 Se 120Th Ave Ste 500
City
Vancouver
State
Washington
Zip
98683-4020
Phone Number
360-254-8151
Fax Number
360-254-7175
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DE7432 (Washington)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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