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Organization
GUY GEORGE DAVIS DDS INC
Active
Organization
GUY GEORGE DAVIS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY GEORGE DAVIS JR. DDS (DENTIST)
(209) 462-9300
Entity
Organization
Contact information
Practice address
2627 PACIFIC AVE, STOCKTON, CA 95204
(209) 462-9300
(209) 462-9313
Mailing address
2627 PACIFIC AVE, STOCKTON, CA 95204
(209) 462-9200
(209) 462-9313
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#G9414601
MEDICARE/MEDICAL
CA
Enumeration date
07/19/2007
Last updated
08/20/2008
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