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Contact Information

MARK L DAVIS DDS, A DENTAL CORPORATION
268 S HALCYON
ARROYO GRANDE, CA93420
 Phone: 805-489-8444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARK L DAVIS DDS A DENTAL CORPORATION · (Female)

NPI Number 1104253178
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2013
Last updated 10/04/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 60661
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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