DR. Jennifer Decota, D.D.S.

NPI #1780806109 in Fenton, Missouri

Provider Information

NPI Number
1780806109
Entity Type
Individual
Name
DR. Jennifer Decota, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1391 SMIZER MILL RD
Address 2
SUITE 104
City
Fenton
ZIP Code
63026-7306
Phone
(636) 349-2400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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