Corey Fredrick Decoteau DMD

NPI 1831459577 - Dentist - 1223S0112X

NPI Details
NPI 1831459577
Gender Male
Enumeration Date 05/28/2012
Last Updated 05/28/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1 KNEELAND ST
BOSTON MA, 02111-1527, US
Phone (978) 621-2928
Fax
Business Location
100 OVERLOOK DR
GROTON MA, 01450-1045, US
Phone (978) 621-2928
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Massachusetts
License Number DN1855957
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According to our database, Dr. Corey Fredrick Decoteau DMD NPI is 1831459577, taxonomy code is 1223S0112X and license number is DN1855957, license state is located at Massachusetts. Corey Fredrick Decoteau DMD physically located at 1 Kneeland St, Boston MA, 02111-1527. NPI Number Corey Fredrick Decoteau DMD has the Individual type.

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1831459577 NPI number is provided on an as is basis without warranty of any kind. 1831459577 is maintained by the National Plan & Provider Enumeration System. The contents of Corey Fredrick Decoteau DMD are for informational purposes only.