Tyleigh Rain Davidson, DMD Valid NPI
Individual provider · Dentist · Ganado, AZ
- NPI
- 1558101501
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D012156 (AZ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-05-28
- Last updated
- 2024-05-28
Practice location
Po Box 457
Ganado, AZ 86505-0457
(928) 755-4850