Organization
DR. ROBERT C. DAVIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C. DAVIS DMD (DENTIST)
(719) 542-5300
Entity
Organization
Contact information
Practice address
902 WEST 29TH STREET, PUEBLO, CO 81008-1159
(719) 542-5300
(719) 545-5525
Mailing address
902 W 29TH ST, PUEBLO, CO 81008-1159
(719) 542-5300
(719) 545-5525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3556
CO
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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