Individual
DR. DALE CARROLL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3132 N. 7TH ST, PHOENIX, AZ 85014
(602) 248-8176
(602) 230-0656
Mailing address
3132 N. 7TH ST, PHOENIX, AZ 85014
(602) 248-8176
(602) 230-0656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2069
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084533
AHCCCS
AZ
Enumeration date
03/02/2015
Last updated
03/02/2015
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