Organization
GRANT DAVIS DENTAL ASSOCIATES PC
Active
Other names
Grant Davis Gribble Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVIS DDS (VICE PRESIDENT)
(505) 898-1976
Entity
Organization
Contact information
Practice address
3610 CALLE CUERVO NW, ALBUQUERQUE, NM 87114-8904
(505) 898-1976
(505) 792-0708
Mailing address
3610 CALLE CUERVO NW, ALBUQUERQUE, NM 87114-8904
(505) 898-1976
(505) 792-0708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
05/23/2016
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