Individual
DR. TYSON ARCHER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2028 N TREKELL RD STE 107, CASA GRANDE, AZ 85122-1326
(520) 876-9955
Mailing address
2028 N TREKELL RD # 107-108, CASA GRANDE, AZ 85122-1326
(520) 876-9955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7815
AZ
Other
Enumeration date
07/10/2009
Last updated
09/10/2018
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