Tom Davies, D.d.s., Llc

NPI 1205106945 - Clinic/Center - 261QD0000X

NPI Details
NPI 1205106945
Enumeration Date 01/11/2012
Last Updated 01/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THOMAS THOMAS
Position MANAGER
Phone (760) 519-5712
Fax (888) 222-6516
Practice Location
103 SUPERIOR ST
SANDPOINT ID, 83864-1394, US
Phone (760) 519-5712
Fax (888) 222-6516
Business Location
3688 WRENCOE LOOP RD
SANDPOINT ID, 83864-6383, US
Phone (760) 519-5712
Fax (888) 222-6516
Toxanomy
Taxonomy Code 261QD0000X
License State Idaho
License Number D-4403
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According to our database, Tom Davies, D.d.s., Llc NPI is 1205106945, taxonomy code is 261QD0000X and license number is D-4403, license state is located at Idaho. Tom Davies, D.d.s., Llc physically located at 103 Superior St, Sandpoint ID, 83864-1394. NPI Number 1033115704 has the healthcare provider type.

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1205106945 NPI number is provided on an as is basis without warranty of any kind. 1205106945 is maintained by the National Plan & Provider Enumeration System. The contents of Tom Davies, D.d.s., Llc are for informational purposes only.