| Davis Dental Practice | |
|
2800 5th Street Suite 100 Davis CA 95618 | |
| (530) 756-5300 | |
| (530) 756-4941 |
| Full Name | Davis Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 2800 5th Street, Davis, California |
| Authorized Official Name and Position | Dagon Hurricane Casey Jones (OWNER) |
| Authorized Official Contact | 5307565300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Dental Practice 2800 5th Street Suite 100 Davis CA 95618 Ph: (530) 756-5300 | Davis Dental Practice 2800 5th Street Suite 100 Davis CA 95618 Ph: (530) 756-5300 |
| NPI Number | 1437616349 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 02/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437616349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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