| Stephen D. Davis Dds Inc | |
|
4757 Hoen Ave Santa Rosa CA 95405-7862 | |
| (707) 575-9595 | |
| (707) 575-9595 |
| Full Name | Stephen D. Davis Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4757 Hoen Ave, Santa Rosa, California |
| Authorized Official Name and Position | Stephen Davis Davis (PRESIDENT) |
| Authorized Official Contact | 7075759595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen D. Davis Dds Inc 4757 Hoen Ave Santa Rosa CA 95405-7862 Ph: (707) 575-9595 | Stephen D. Davis Dds Inc 4757 Hoen Ave Santa Rosa CA 95405-7862 Ph: (707) 575-9595 |
| NPI Number | 1245452069 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245452069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21791 (California) | Primary |
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