Organization
DAVID A. THEIS, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALAN THEIS D.D.S. (OWNER, PRESIDENT)
(386) 789-5100
Entity
Organization
Contact information
Practice address
1674 PROVIDENCE BLVD, DELTONA, FL 32725-4961
(386) 789-5100
(386) 789-5116
Mailing address
1674 PROVIDENCE BLVD, DELTONA, FL 32725-4961
(386) 789-5100
(386) 789-5116
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 5761
FL
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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