Individual
DR. BRUCE LENID DECKLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11708 HILLSIDE AVE, RICHMOND HILL, NY 11418-1743
(718) 849-7983
Mailing address
11708 HILLSIDE AVE, RICHMOND HILL, NY 11418-1743
(718) 849-7983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042555-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01375548
—
NY
Enumeration date
02/02/2006
Last updated
07/08/2007
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