Theodore Davis, DMD

NPI #1023097425 in Newark, New Jersey

Provider Information

NPI Number: 1023097425
Entity Type: Individual
Name: Theodore Davis, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 13, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 804 CLINTON AVE
Address 2: CLINTON HILL DENTAL ASSOC
City: Newark
State: New Jersey
ZIP Code: 07108
Phone: (973) 374-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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