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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

NPI # 1104253178
LBN Legal business name MARK L DAVIS DDS, A DENTAL CORPORATION
Authorized official MARK DAVIS - (PRES/OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2013
Last updated 10/04/2013 - About 13 years ago
Identifiers
CA License # 60661
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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