| Decker Family Dental, Pc | |
|
4647 W 103rd St Ste 1d Oak Lawn IL 60453-4792 | |
| (708) 422-6500 | |
| Not Available |
| Full Name | Decker Family Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4647 W 103rd St Ste 1d, Oak Lawn, Illinois |
| Authorized Official Name and Position | Vilija Mcwilliams (OFFICE MANAGER) |
| Authorized Official Contact | 7084226500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decker Family Dental, Pc 4647 W 103rd St Ste 1d Oak Lawn IL 60453-4792 Ph: (708) 422-6500 | Decker Family Dental, Pc 4647 W 103rd St Ste 1d Oak Lawn IL 60453-4792 Ph: (708) 422-6500 |
| NPI Number | 1558984427 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 05/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558984427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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