Individual
DOUGLAS JASON DECOUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1290 PEOPLES PLZ, NEWARK, DE 19702-5701
(302) 836-3750
Mailing address
38 OAKLEY CT, NEWARK, DE 19702-2959
(240) 486-1321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G30000326
DE
Other
Enumeration date
03/09/2007
Last updated
08/14/2007
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