Organization
GUY GEORGE DAVIS DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY GEORGE DAVIS JR. DDS (DENTIST)
(209) 462-9300
Entity
Organization
Contact information
Practice address
2627 PACIFIC AVE, STOCKTON, CA 95204
(209) 462-9300
(209) 462-9313
Mailing address
2627 PACIFIC AVE, STOCKTON, CA 95204
(209) 462-9200
(209) 462-9313
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#G9414601
MEDICARE/MEDICAL
CA
Enumeration date
07/19/2007
Last updated
08/20/2008
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