Organization
DUSTIN M. DAVIS, DDS, LLC
Active
Other names
Sunnyside Dentistry for Children
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN DAVIS DDS (PEDIATRIC DENTIST/PRACTICE OWNER)
(951) 526-5452
Entity
Organization
Contact information
Practice address
11411 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9356
(503) 855-5100
Mailing address
11411 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9356
(503) 855-5100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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