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Keenan R. Decker D.M.D.

Dentist, General Practice in Lowell, AR. Organization (NPI-2).

NPI number1497920573
StatusActive
Last updated in NPPESApr 29, 2008

Details

NPI
1497920573
Entity type
Organization (NPI-2)
Legal business name
Keenan R. Decker D.M.D.
Organization subpart
No
Enumeration date
Apr 29, 2008
Last updated
Apr 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

1815 Billie Acres Pl
Lowell, AR 72745-8641

Phone 479-770-4333 · Fax 479-770-4334

Mailing address

Po Box 1037
Lowell, AR 72745-1037

Phone 479-770-4333 · Fax 479-770-4334

Authorized official

Keenan R Decker
Dentist
4797704333

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