Individual
DR. DAVID ALAN THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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 5671
FL
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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