Brock Davidson, DDS

NPI #1962055921 in Diamond Springs, California

Provider Information

NPI Number
1962055921
Entity Type
Individual
Name
Brock Davidson, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 18, 2019
Last Updated
Jul 18, 2019

Practice Location

Address
509 MAIN ST
ZIP Code
95619-9105
Phone
(530) 621-1051

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

Provider Name
T. Rutner DDS Dental Corporation

Part of T. Rutner DDS Dental Corporation

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