Organization
DAVIS & KING FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE GREGORY DAVIS DDS (CO OWNER)
(518) 383-3960
Entity
Organization
Contact information
Practice address
863 ROUTE 146, CLIFTON PARK, NY 12065-3804
(518) 383-3960
Mailing address
863 ROUTE 146, CLIFTON PARK, NY 12065-3804
(518) 383-3960
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NY041715
NY
1223G0001X
General Practice Dentistry
NY041746
NY
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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