Individual
THEODORE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
804 CLINTON AVE, CLINTON HILL DENTAL ASSOC, NEWARK, NJ 07108
(973) 374-5200
(973) 374-5609
Mailing address
804 CLINTON AVE, NEWARK, NJ 07108
(973) 374-5200
(973) 374-5609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2108128
NJ
Other
Enumeration date
01/13/2006
Last updated
07/13/2026
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