Organization
CHARLES A DAVIS DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A DAVIS DDS, MS (OWNER PRESIDENT)
(520) 326-8516
Entity
Organization
Contact information
Practice address
716 N COUNTRY CLUB RD, TUCSON, AZ 85716-4506
(520) 326-8516
(520) 326-1013
Mailing address
716 N COUNTRY CLUB RD, TUCSON, AZ 85716-4506
(520) 326-8516
(520) 326-1013
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1881
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082868
—
AZ
Enumeration date
06/12/2012
Last updated
06/12/2012
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