Individual
DR. GEOFFREY TODD DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4647 W 103RD ST, SUITE #1D, OAK LAWN, IL 60453-4779
(708) 422-6500
(708) 422-6952
Mailing address
4647 W 103RD ST, SUITE #1D, OAK LAWN, IL 60453-4779
(708) 422-6500
(708) 422-6952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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