Individual provider · NPI-1

Dean Davis

Prosthetic/Orthotic Supplier · Riverside, CA

NPI number1184092660
StatusActive
Last updated in NPPESSep 14, 2015

Details

NPI
1184092660
Entity type
Individual (NPI-1)
Name
Dean Davis
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 14, 2015
Last updated
Sep 14, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

1784 Container Cir
Riverside, CA 92509-1707

Phone 951-754-5507

Mailing address

1784 Container Cir
Riverside, CA 92509-1707

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Prosthetic/Orthotic Supplier providers in Riverside, CA