Individual
DEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1784 CONTAINER CIR, RIVERSIDE, CA 92509-1707
(951) 754-5507
Mailing address
1784 CONTAINER CIR, RIVERSIDE, CA 92509-1707
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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