Individual
SUSAN E DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
36 OAK ST., BUENA VISTA, CO 81211
(719) 966-5088
Mailing address
PO BOX 284, BUENA VISTA, CO 81211-0284
(719) 966-5088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204062
CO
Other
Enumeration date
06/24/2019
Last updated
03/01/2024
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