Greg Ron Davis, D.D.S Valid NPI
Individual provider · Dentist · Eagle, ID
- NPI
- 1699960039
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D-3175 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-09-10
- Last updated
- 2007-09-10
Practice location
467 S Rivershore Ln
Eagle, ID 83616-4978
(208) 939-9235