Individual
DR. LISA R DEKKER-REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
919 E JEFFERSON BLVD STE 100, SOUTH BEND, IN 46617-3112
(574) 245-7501
(574) 245-7502
Mailing address
919 E JEFFERSON BLVD STE 100, SOUTH BEND, IN 46617-3112
(574) 245-7501
(574) 245-7502
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011340
IN
Other
Enumeration date
04/17/2009
Last updated
09/20/2023
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