Individual
DAVID M DECILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
114 N MAIN STREET, HEATH SPRINGS, SC 29058-0455
(803) 273-9336
(803) 273-3202
Mailing address
114 N MAIN STREET, P O BOX 455, HEATH SPRINGS, SC 29058-0455
(803) 273-9336
(803) 273-3202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2611
SC
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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