Individual
DR. CHAD JOSEPH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3811 CERRILLOS RD STE 104, SANTA FE, NM 87507-4149
(505) 933-6872
(505) 930-5682
Mailing address
3811 CERRILLOS RD STE 104, SANTA FE, NM 87507-4149
(505) 933-6872
(903) 677-2852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35317
TX
Other
Enumeration date
06/21/2019
Last updated
07/27/2020
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