Individual
EDWARD ALAN DECOITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
43195 MISSION BLVD., SUITE A-Z, FREMONT, CA 94539
(510) 657-5744
(510) 657-5611
Mailing address
43195 MISSION BLVD., SUITE A-Z, FREMONT, CA 94539
(510) 657-5744
(510) 657-5611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24445
CA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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