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Organization
MARK L DAVIS DDS, A DENTAL CORPORATION
Active
Organization
MARK L DAVIS DDS, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LAWRENCE DAVIS DDS (PRES/OWNER/DENTIST)
(805) 328-0459
Entity
Organization
Contact information
Practice address
268 S HALCYON, ARROYO GRANDE, CA 93420
(805) 489-8444
Mailing address
268 S HALCYON, ARROYO GRANDE, CA 93420
(805) 489-8444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60661
CA
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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