DR. Greg Ron Davis, D.D.S

NPI #1699960039 in Eagle, Idaho

Provider Information

NPI Number: 1699960039
Entity Type: Individual
Name: DR. Greg Ron Davis, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Sep 10, 2007
Last Updated: Sep 10, 2007

Practice Location

Address: 467 S RIVERSHORE LN
City: Eagle
State: Idaho
ZIP Code: 83616-4978
Phone: (208) 939-9235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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