Individual
DR. KEENAN R DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3608 SOUTHERN HILLS BLVD, SUITE 2, ROGERS, AR 72758-8013
(479) 659-0900
(479) 659-0902
Mailing address
3608 SOUTHERN HILLS BLVD, SUITE 2, ROGERS, AR 72758-8013
(479) 659-0900
(479) 659-0902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3041
AR
Other
Enumeration date
11/21/2006
Last updated
02/03/2009
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