Deco Dental

NPI #1760690614 in Fenton, Missouri

Provider Information

NPI Number: 1760690614
Entity Type: Organization
Organization Name: Deco Dental
Primary Specialty: Point of Service
Enumeration Date: May 21, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1391 SMIZER MILL RD
City: Fenton
State: Missouri
ZIP Code: 63026-7306
Phone: (636) 349-2400

Authorized Official

Name: ADAM DECOTA
Title: DENTIST
Phone: (636) 349-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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