Brent D. Deragisch, DDS
General Dentistry · St Cloud, MN
UnclaimedDDSNPI 1164643292
- Primary taxonomy
- 122300000X
- Enumerated
- 2007-05-02
- Practice location
- St Cloud, MN
- Last NPPES update
- 2007-07-08
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.