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DR. BRUCE A. DAVEY D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1124235338
Individual Registrant:DR. BRUCE A. DAVEY D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
30 CALEDONIA ST STE. B SAUSALITO, CA 94965-2179 US
Tel: 415-332-4011 Fax: 415-332-9114
Tel: 415-332-4011 Fax: 415-332-9114
Contact information for business:
30 CALEDONIA ST STE. B SAUSALITO, CA 94965-2179 US
Tel: 415-332-4011 Fax: 415-332-9114
Tel: 415-332-4011 Fax: 415-332-9114
Registration Information:
NPI: 1124235338
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 29033 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
