| Visse P. Storm,dds,inc | |
|
305 D St Davis CA 95616-4128 | |
| (530) 756-3232 | |
| Not Available |
| Full Name | Visse P. Storm,dds,inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 305 D St, Davis, California |
| Authorized Official Name and Position | Visse P. Storm (CEO) |
| Authorized Official Contact | 5307563232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visse P. Storm,dds,inc 305 D St Davis CA 95616-4128 Ph: (530) 756-3232 | Visse P. Storm,dds,inc 305 D St Davis CA 95616-4128 Ph: (530) 756-3232 |
| NPI Number | 1720165483 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720165483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40870 (California) | Primary |
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