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1235275884
JASON THOMAS DECKER
LATHAM, NY
NPI
1235275884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: NY 047070)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Dr. JASON THOMAS DECKER D.D.S.
9 CENTURY HILL DR
LATHAM, NY 12110-6102
Phone number: 518-785-3911
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Mailing Address
Dr. JASON THOMAS DECKER D.D.S.
9 CENTURY HILL DR
LATHAM, NY 12110-6102
Phone number: 518-785-3911
Copy
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