Organization
TOM DAVIES, D.D.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DAVIES D.D.S. (MANAGER)
(760) 519-5712
Entity
Organization
Contact information
Practice address
103 SUPERIOR ST, SANDPOINT, ID 83864-1394
(760) 519-5712
(888) 222-6516
Mailing address
3688 WRENCOE LOOP RD, SANDPOINT, ID 83864-6383
(760) 519-5712
(888) 222-6516
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D-4403
ID
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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