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Individual

EDWARD MITCHELL DAVIS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
300 CARLSBAD VILLAGE DR, SUITE 203, CARLSBAD, CA 92008-2900
(760) 487-0203
Mailing address
1865 KNIGHTS FERRY DR, CHULA VISTA, CA 91913-1655

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101113
CA

Other

Enumeration date
01/10/2017
Last updated
03/07/2017
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