Stephen D. Davis Dds Inc | |
4757 Hoen Ave Santa Rosa CA 95405-7862 | |
(707) 575-9595 | |
(707) 575-9595 |
Full Name | Stephen D. Davis Dds Inc |
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Speciality | Clinic/center - Dental |
Location | 4757 Hoen Ave, Santa Rosa, California |
Authorized Official Name and Position | Stephen Davis Davis (PRESIDENT) |
Authorized Official Contact | 7075759595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stephen D. Davis Dds Inc 4757 Hoen Ave Santa Rosa CA 95405-7862 Ph: (707) 575-9595 | Stephen D. Davis Dds Inc 4757 Hoen Ave Santa Rosa CA 95405-7862 Ph: (707) 575-9595 |
NPI Number | 1245452069 |
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Provider Enumeration Date | 05/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1245452069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 21791 (California) | Primary |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave Ste 108, Santa Rosa, CA 95405 Phone: 707-523-2399 Fax: 707-523-1411 | |
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