C SID DAVIS DDS PC
Dentist at Izabel St, Flagstaff, AZ

License number
Arizona 5223
Category
Dentist
Type
General Practice
Owner
Name: DR. CHARLES SID DAVIS DDS
Title: OWNER
Phone: (928) 774-4311
Address
Address
2700 N Izabel St, Flagstaff, AZ 86004
National Provider ID: 1639353337
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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C. SID DAVIS DDS, PC

2700 N Izabel St, Flagstaff, AZ 86004

Status:
Inactive
Doing business as:
C Sid Davis DDS,PC
Inactive reason:
Ad-dissolved-file annual report
Registration:
Jun 22, 2005
Inactive since:
Dec 2, 2013
Phone:
(928) 774-4311 (Phone)
State ID:
-1212728-0
Expiration:
Perpetual
S:
C Sid Davis (President), 2700 N Izabel St, Flagstaff, AZ 86004 (Physical),Jennifer Hurley
Agent:
Owens & Bondell Pllc,5353 N 16 St STE 380, Phoenix, AZ 85016 (Physical)

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