Individual
DR. COREY FREDRICK DECOTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
39 SIMON STREET, UNIT 11-13, NASHUA, NH 03060
(603) 883-4008
(603) 881-3822
Mailing address
39 SIMON STREET, UNIT 11-13, NASHUA, NH 03060
(603) 883-4008
(603) 881-3822
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855957
MA
Other
Enumeration date
05/28/2012
Last updated
05/07/2021
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