Search › California › 122300000X
Samantha Deridder, DDS
NPI 1619559655 · on the registry since 2021
Practice
- Address
- 216 S Pine St
Nevada City, CA 95959 - Phone
- (530) 265-5815
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-22
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 California