| Brock Davidson, DDS | |
|
509 Main St, Diamond Springs, CA 95619-9105 | |
| (530) 621-1051 | |
| Not Available |
| Full Name | Brock Davidson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 509 Main St, Diamond Springs, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962055921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 103896 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brock Davidson, DDS 509 Main St, Diamond Springs, CA 95619-9105 Ph: (530) 621-1051 | Brock Davidson, DDS 509 Main St, Diamond Springs, CA 95619-9105 Ph: (530) 621-1051 |
Dr. Richard Wayne Henifin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 493 Main St Ste C, Diamond Springs, CA 95619 Phone: 530-626-5810 Fax: 530-626-6560 | |
Dr. Mitchell Allen Goodis, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 540 Pleasant Valley Rd, Ste 102, Diamond Springs, CA 95619 Phone: 530-344-0290 Fax: 530-344-0291 |