Derek William Hiam, DDS Valid NPI
Individual provider · General Practice Dentistry · Lisbon, ND
- NPI
- 1396223087
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2350 (ND)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-08-03
- Last updated
- 2018-08-03
Practice location
513 Main St
Lisbon, ND 58054-4145
(701) 308-0151