Organization
DANIEL J. DECILLIS, DDS, LLC
Active
Other names
Soulsmile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DECILLIS DDS (MANAGING MEMBER)
(704) 557-6101
Entity
Organization
Contact information
Practice address
1144 IOWA ST STE A, ASHLAND, OR 97520-2385
(541) 482-4995
Mailing address
1144 IOWA ST STE A, ASHLAND, OR 97520-2385
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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