DANIEL JORDAN DECILLIS

ASHLAND, OR
NPI1326545625
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D11005)
Enumeration Date2018-04-12
Last Update Date2019-07-06
Business Address
Dr. DANIEL JORDAN DECILLIS DDS
1144 IOWA ST STE A
ASHLAND, OR 97520
Phone number: 541-482-4995
Mailing Address
Dr. DANIEL JORDAN DECILLIS DDS
1144 IOWA ST STE A
ASHLAND, OR 97520-2385
Phone number: 541-482-4995