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Individual

DR. JUSTIN HENRY DECKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1712 EYE ST NW, SUITE 710, WASHINGTON, DC 20006-3702
(202) 659-1227
(202) 833-2632
Mailing address
1712 EYE ST NW, SUITE 710, WASHINGTON, DC 20006-3702
(202) 659-1227
(202) 833-2632

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15175
MD
1223G0001X
General Practice Dentistry
DEN1001339
DC

Other

Enumeration date
04/22/2011
Last updated
05/15/2016
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