Organization
ARK VALLEY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E DAVIS DDS (OWNER/DENTIST)
(719) 966-5088
Entity
Organization
Contact information
Practice address
36 OAK STREET, BUENA VISTA, CO 81211
(719) 966-5088
Mailing address
PO BOX 284, BUENA VISTA, CO 81211-0284
(719) 966-5088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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