DR. Mark L Davis, DDS

NPI #1851514459 in Pismo Beach, California

Provider Information

NPI Number: 1851514459
Entity Type: Individual
Name: DR. Mark L Davis, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 11, 2007
Last Updated: Oct 11, 2016

Practice Location

Address: 901 OAK PARK BLVD STE 201
Address 2: 1
City: Pismo Beach
State: California
ZIP Code: 93449-3410
Phone: (805) 489-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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