| Daniel J. Decillis, Dds, Llc | |
|
1144 Iowa St Ste A Ashland OR 97520-2385 | |
| (541) 482-4995 | |
| Not Available |
| Full Name | Daniel J. Decillis, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1144 Iowa St Ste A, Ashland, Oregon |
| Authorized Official Name and Position | Daniel Decillis (MANAGING MEMBER) |
| Authorized Official Contact | 7045576101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J. Decillis, Dds, Llc 1144 Iowa St Ste A Ashland OR 97520-2385 Ph: () - | Daniel J. Decillis, Dds, Llc 1144 Iowa St Ste A Ashland OR 97520-2385 Ph: (541) 482-4995 |
| NPI Number | 1508428954 |
|---|---|
| Provider Enumeration Date | 07/06/2019 |
| Last Update Date | 07/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508428954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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