| Dustin M. Davis, Dds, Llc | |
|
11411 Se Sunnyside Rd Clackamas OR 97015-9356 | |
| (503) 855-5100 | |
| Not Available |
| Full Name | Dustin M. Davis, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11411 Se Sunnyside Rd, Clackamas, Oregon |
| Authorized Official Name and Position | Dustin Davis (PEDIATRIC DENTIST/PRACTICE OWNER) |
| Authorized Official Contact | 9515265452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin M. Davis, Dds, Llc 11411 Se Sunnyside Rd Clackamas OR 97015-9356 Ph: (503) 855-5100 | Dustin M. Davis, Dds, Llc 11411 Se Sunnyside Rd Clackamas OR 97015-9356 Ph: (503) 855-5100 |
| NPI Number | 1518537646 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518537646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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