Individual
ESTELA VIVIANA DECASTECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7320 INDUSTRIAL PARK BLVD, MENTOR, OH 44060-5318
(440) 975-9885
(440) 975-1634
Mailing address
32560 SENECA DR, SOLON, OH 44139-6302
(440) 542-0137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
20652
OH
1223G0001X
General Practice Dentistry
Primary
30.020652
OH
Other
Enumeration date
12/05/2006
Last updated
04/19/2013
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