Organization
STEPHEN D. DAVIS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DAVIS DAVIS DDS (PRESIDENT)
(707) 575-9595
Entity
Organization
Contact information
Practice address
4757 HOEN AVE, SANTA ROSA, CA 95405-7862
(707) 575-9595
(707) 575-9595
Mailing address
4757 HOEN AVE, SANTA ROSA, CA 95405-7862
(707) 575-9595
(707) 575-9595
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21791
CA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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