| Davis Orthodontics | |
|
400 N Broadway Escondido CA 92025-2718 | |
| (760) 781-1086 | |
| (760) 781-1089 |
| Full Name | Davis Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 400 N Broadway, Escondido, California |
| Authorized Official Name and Position | Allen G. Davis (ORTHODONTIST) |
| Authorized Official Contact | 7607811086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Orthodontics 400 N Broadway Escondido CA 92025-2718 Ph: (760) 781-1086 | Davis Orthodontics 400 N Broadway Escondido CA 92025-2718 Ph: (760) 781-1086 |
| NPI Number | 1306092861 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 04/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306092861 | NPI | - | NPPES |
| B2957602 | Other | CA | DENTICAL |
| 973179 | Other | CA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 29576 (California) | Primary |
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