| C Sid Davis Dds Pc | |
|
2700 N Izabel St Flagstaff AZ 86004-3420 | |
| (928) 774-4311 | |
| (928) 774-1498 |
| Full Name | C Sid Davis Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 N Izabel St, Flagstaff, Arizona |
| Authorized Official Name and Position | Charles Sid Davis (OWNER) |
| Authorized Official Contact | 9287744311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Sid Davis Dds Pc 2700 N Izabel St Flagstaff AZ 86004-3420 Ph: (928) 774-4311 | C Sid Davis Dds Pc 2700 N Izabel St Flagstaff AZ 86004-3420 Ph: (928) 774-4311 |
| NPI Number | 1639353337 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639353337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5223 (Arizona) | Primary |
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