Individual
BEATRICE E DECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
501 NE HOOD AVE STE 235, GRESHAM, OR 97030-7346
(503) 661-4900
Mailing address
501 NE HOOD AVE STE 235, GRESHAM, OR 97030-7346
(503) 661-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10377
OR
Other
Enumeration date
07/06/2009
Last updated
07/21/2022
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