| NPI | 1902942246 |
|---|---|
| Doing Business As | CAPITAL DISTRICT PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JASON THOMAS DECKER President 518-785-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 047070) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |