| Mark L Davis Dds, A Dental Corporation | |
|
268 S Halcyon Arroyo Grande CA 93420 | |
| (805) 489-8444 | |
| Not Available |
| Full Name | Mark L Davis Dds, A Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 268 S Halcyon, Arroyo Grande, California |
| Authorized Official Name and Position | Mark Lawrence Davis (PRES/OWNER/DENTIST) |
| Authorized Official Contact | 8053280459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L Davis Dds, A Dental Corporation 268 S Halcyon Arroyo Grande CA 93420 Ph: (805) 489-8444 | Mark L Davis Dds, A Dental Corporation 268 S Halcyon Arroyo Grande CA 93420 Ph: (805) 489-8444 |
| NPI Number | 1104253178 |
|---|---|
| Provider Enumeration Date | 10/04/2013 |
| Last Update Date | 10/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104253178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 60661 (California) | Primary |
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