Individual
DR. NELSON CHARLES DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
PENTAGON TRISERVICE DENTAL CLINIC, 5802 ARMY PENTAGON, WASHINGTON, DC 20310-0001
(703) 692-8700
(703) 692-6123
Mailing address
710 S ROYAL ST, ALEXANDRIA, VA 22314-4310
(703) 549-4382
(703) 692-6123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN 4901
DC
Other
Enumeration date
08/24/2005
Last updated
07/08/2007
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