Organization
DECOTEAU ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY M DECOTEAU DMD (PRESIDENT)
(603) 589-9222
Entity
Organization
Contact information
Practice address
169 KINSLEY ST., NASHUA, NH 03060
(603) 589-9222
Mailing address
169 KINSLEY ST., NASHUA, NH 03060
(603) 589-9222
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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