| James W Childress Dds Inc | |
|
2067 Anderson Rd Davis CA 95616-0672 | |
| (530) 756-7400 | |
| (530) 756-3860 |
| Full Name | James W Childress Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2067 Anderson Rd, Davis, California |
| Authorized Official Name and Position | James Woodrow Childress (PRESIDENT) |
| Authorized Official Contact | 5307567400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James W Childress Dds Inc 2067 Anderson Rd Davis CA 95616-0672 Ph: (530) 756-7400 | James W Childress Dds Inc 2067 Anderson Rd Davis CA 95616-0672 Ph: (530) 756-7400 |
| NPI Number | 1740761543 |
|---|---|
| Provider Enumeration Date | 08/28/2018 |
| Last Update Date | 08/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740761543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28432 (California) | Primary |
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