Organization
D DECKER DDS,T MCCLANAHAN DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS L DECKER DDS (PRESIDENT)
(619) 543-1588
Entity
Organization
Contact information
Practice address
2533 EL CAJON BLVD, SAN DIEGO, CA 92104-1117
(619) 543-1588
(619) 543-9864
Mailing address
2533 EL CAJON BLVD, SAN DIEGO, CA 92104-1117
(619) 543-1588
(619) 543-9864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29878
CA
1223G0001X
General Practice Dentistry
29977
CA
Other
Enumeration date
01/31/2007
Last updated
06/12/2008
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