Individual
ROBERT DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12113 DARNESTOWN RD, GAITHERSBURG, MD 20878-2205
(301) 977-8717
Mailing address
12113 DARNESTOWN RD, GAITHERSBURG, MD 20878-2205
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
04004
MD
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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