Organization
COSTES DAVIS, DDS DENTAL PRACTICE
Active
Other names
Hall Of Fame Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KELCIE DEE THOMPSON (BILLING/INSURANCE MANAGER)
(928) 925-6522
Entity
Organization
Contact information
Practice address
3015 CALLOWAY DR UNIT 14, BAKERSFIELD, CA 93312-2659
(661) 587-6453
Mailing address
3015 CALLOWAY DR UNIT 14, BAKERSFIELD, CA 93312-2659
(661) 587-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6359
CA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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