Organization
C SID DAVIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SID DAVIS DDS (OWNER)
(928) 774-4311
Entity
Organization
Contact information
Practice address
2700 N IZABEL ST, FLAGSTAFF, AZ 86004-3420
(928) 774-4311
(928) 774-1498
Mailing address
2700 N IZABEL ST, FLAGSTAFF, AZ 86004-3420
(928) 774-4311
(928) 774-1498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5223
AZ
Other
Enumeration date
12/18/2007
Last updated
06/12/2008
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