# DR. DAVIS DO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356639876
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 101970 | CA | Yes |
| 126800000X | Dental Assistant | — | — | — |

## Other

- **Enumeration date:** 07/18/2011
- **Last updated:** 03/24/2023