James Anthony Decosta, DMD

NPI #1649492851 in Tualatin, Oregon

Provider Information

NPI Number
1649492851
Entity Type
Individual
Name
James Anthony Decosta, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
19300 SW BOONES FERRY RD
Address 2
#8
State
Oregon
ZIP Code
97062
Phone
(503) 692-0650

Specialties & Taxonomy Codes

Specialty
Dentist

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