Individual
MR. DAVID G PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
(386) 754-7259
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
(386) 754-7259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209770C
—
IN
Enumeration date
06/16/2006
Last updated
03/26/2010
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