| D Decker Dds,t Mcclanahan Dds, Inc | |
|
2533 El Cajon Blvd San Diego CA 92104-1117 | |
| (619) 543-1588 | |
| (619) 543-9864 |
| Full Name | D Decker Dds,t Mcclanahan Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2533 El Cajon Blvd, San Diego, California |
| Authorized Official Name and Position | Douglas L Decker (PRESIDENT) |
| Authorized Official Contact | 6195431588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D Decker Dds,t Mcclanahan Dds, Inc 2533 El Cajon Blvd San Diego CA 92104-1117 Ph: (619) 543-1588 | D Decker Dds,t Mcclanahan Dds, Inc 2533 El Cajon Blvd San Diego CA 92104-1117 Ph: (619) 543-1588 |
| NPI Number | 1245377795 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245377795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 29878 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 29977 (California) | Secondary |
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