Organization
NATHAN T DAVIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN TRENT DAVIS DDS (PRESIDENT)
(480) 969-8500
Entity
Organization
Contact information
Practice address
2500 S POWER RD, STE 128, MESA, AZ 85209
(480) 969-8500
(480) 969-8503
Mailing address
2500 S POWER RD, STE 128, MESA, AZ 85209
(480) 969-8500
(480) 969-8503
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
AZ4914
AZ
Other
Enumeration date
04/26/2007
Last updated
09/30/2008
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