Individual
DR. TAMI RD DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6235 LUSK BLVD, SAN DIEGO, CA 92121-2731
(858) 558-3636
(858) 558-3633
Mailing address
6235 LUSK BLVD, SAN DIEGO, CA 92121-2731
(858) 558-3636
(858) 558-3633
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
45241
CA
Other
Enumeration date
07/18/2006
Last updated
12/27/2010
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