| Charles A Davis Dds Ms Pc | |
|
716 N Country Club Rd Tucson AZ 85716-4506 | |
| (520) 326-8516 | |
| (520) 326-1013 |
| Full Name | Charles A Davis Dds Ms Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 716 N Country Club Rd, Tucson, Arizona |
| Authorized Official Name and Position | Charles A Davis (OWNER PRESIDENT) |
| Authorized Official Contact | 5203268516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Davis Dds Ms Pc 716 N Country Club Rd Tucson AZ 85716-4506 Ph: (520) 326-8516 | Charles A Davis Dds Ms Pc 716 N Country Club Rd Tucson AZ 85716-4506 Ph: (520) 326-8516 |
| NPI Number | 1700148004 |
|---|---|
| Provider Enumeration Date | 06/12/2012 |
| Last Update Date | 06/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700148004 | NPI | - | NPPES |
| 082868 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1881 (Arizona) | Primary |
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