Cynthia L Deragon, DMD Valid NPI

Individual provider · Periodontics · Ft Myers, FL

NPI

1073618096

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

DN0013567 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2006-09-14

Last updated

2007-07-08