Individual
AGNES DECENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
371 JOAQUIN AVE, SAN LEANDRO, CA 94577-4711
(510) 895-3250
(510) 895-3252
Mailing address
371 JOAQUIN AVE, SAN LEANDRO, CA 94577-4711
(510) 895-3250
(510) 895-3252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36535
CA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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