| Guy George Davis Dds Inc | |
|
2627 Pacific Ave Stockton CA 95204 | |
| (209) 462-9300 | |
| (209) 462-9313 |
| Full Name | Guy George Davis Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2627 Pacific Ave, Stockton, California |
| Authorized Official Name and Position | Guy George Davis (DENTIST) |
| Authorized Official Contact | 2094629300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guy George Davis Dds Inc 2627 Pacific Ave Stockton CA 95204 Ph: (209) 462-9200 | Guy George Davis Dds Inc 2627 Pacific Ave Stockton CA 95204 Ph: (209) 462-9300 |
| NPI Number | 1780884627 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780884627 | NPI | - | NPPES |
| #G9414601 | Other | CA | MEDICARE/MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 23817 (California) | Primary |
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