DR. Katherine Anne Decolibus, DDS

NPI #1124037379 in Bolivar, Tennessee

Provider Information

NPI Number: 1124037379
Entity Type: Individual
Name: DR. Katherine Anne Decolibus, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 5, 2006
Last Updated: Aug 6, 2009

Practice Location

Address: 10825 OLD HIGHWAY 64
City: Bolivar
State: Tennessee
ZIP Code: 38008-3599
Phone: (731) 658-5291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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