DR. David Alan Theis, D.D.S.

NPI #1902907843 in Deltona, Florida

Provider Information

NPI Number
1902907843
Entity Type
Individual
Name
DR. David Alan Theis, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Sep 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1674 PROVIDENCE BLVD
State
Florida
ZIP Code
32725-4961
Phone
(386) 789-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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