Organization
DAVIS FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L DAVIS (OWNER)
(308) 784-3377
Entity
Organization
Contact information
Practice address
1002 MERIDIAN AVE, COZAD, NE 69130-1757
(308) 784-3377
(308) 784-3395
Mailing address
PO BOX 248, 1002 MERIDIAN AVENUE, COZAD, NE 69130-0248
(308) 784-3377
(308) 784-3395
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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