DR. Daniel Jordan Decillis, DDS

NPI #1326545625 in Ashland, Oregon

Provider Information

NPI Number: 1326545625
Entity Type: Individual
Name: DR. Daniel Jordan Decillis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 12, 2018
Last Updated: Jul 6, 2019

Practice Location

Address: 1144 IOWA ST STE A
City: Ashland
State: Oregon
ZIP Code: 97520
Phone: (541) 482-4995

Specialties & Taxonomy Codes

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

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