Individual
ZACHERY TYLER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7525 N CEDAR AVE STE 105, FRESNO, CA 93720-2698
(559) 439-6600
Mailing address
1917 MINARETS LN, CLOVIS, CA 93611-6995
(801) 946-2028
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS105061
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/08/2018
Last updated
07/31/2020
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