Most Relevant Information
Provider Data
NPI Number: | 1003017757 |
Provider Name: | ELIZABETH ANNE DEKKER DDS |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | 8381 |
Most Important Dates
Enumeration Date: | 05/30/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
344 GAY STR
SHARON
CT
06069
Practice Location Phone/Fax
Phone: | 8603645001 |
Fax: | 8603640145 |
Provider Mailing Location
PO BOX 176
SHARON
CT
06069
Provider Mailing Phone/Fax
Phone: | 8603645001 |
Fax: | 8603640145 |