| Dr. Robert C. Davis | |
|
902 West 29th Street Pueblo CO 81008-1159 | |
| (719) 542-5300 | |
| (719) 545-5525 |
| Full Name | Dr. Robert C. Davis |
|---|---|
| Speciality | Dentist |
| Location | 902 West 29th Street, Pueblo, Colorado |
| Authorized Official Name and Position | Robert C. Davis (DENTIST) |
| Authorized Official Contact | 7195425300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Robert C. Davis 902 W 29th St Pueblo CO 81008-1159 Ph: (719) 542-5300 | Dr. Robert C. Davis 902 West 29th Street Pueblo CO 81008-1159 Ph: (719) 542-5300 |
| NPI Number | 1790171429 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790171429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3556 (Colorado) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
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