Individual
DR. JAMIE MARIE ROACH-DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
(860) 450-9808
Mailing address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 456-6297
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7133
CT
Other
Enumeration date
10/13/2006
Last updated
01/18/2017
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