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Organization
JERIT DAVIS DDS DENTAL CORPORATION
Active
Organization
JERIT DAVIS DDS DENTAL CORPORATION
Active
Other names
El Portal Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JERIT DAVIS DDS (OWNING DDS)
(214) 491-8398
Entity
Organization
Contact information
Practice address
3393 G ST STE B, MERCED, CA 95340-1001
(209) 385-1479
Mailing address
6988 LEBANON RD STE 102, FRISCO, TX 75034-6743
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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