Individual
DIANA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5024 S CHASSIS, MESA, AZ 85212-8763
(702) 556-2136
Mailing address
5024 S CHASSIS, MESA, AZ 85212-8763
(702) 556-2136
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
002025444
CO
124Q00000X
Dental Hygienist
Primary
009645
AZ
Other
Enumeration date
05/08/2019
Last updated
06/15/2023
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