Organization
DONALD A DECINO, D.D.S., P,C,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ALFRED DECINO D.D.S. (PRESIDENT)
(303) 996-8500
Entity
Organization
Contact information
Practice address
3405 S YARROW ST, SUITE A, LAKEWOOD, CO 80227-4965
(303) 996-8500
(303) 996-8501
Mailing address
3405 S YARROW ST, SUITE A, LAKEWOOD, CO 80227-4965
(303) 996-8500
(303) 996-8501
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5926
CO
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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