Ms. Andrea Marie Davis
Dental Assistant
62 Area Naval Dental Clinic Camp Pendleton
New Island City
, New Island 92055
Ms. Andrea Marie Davis
Dental Assistant
62 Area Naval Dental Clinic Camp Pendleton
New Island City
, New Island 92055
(619) 522-4210
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Ms. Andrea Marie Davis
- 2505 Raymell Dr
- San Diego, CA
- Zip : 92123-3543
- Phone : (619) 522-4210
Second Address
- Ms. Andrea Marie Davis
- 62 Area Naval Dental Clinic Camp Pendleton
- Apo, AA
- Zip : 92055
- Phone : (760) 763-2106
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | CA |
National Provider Identifier
| NPI | 1174154488 |
|---|---|
| Provider Name | Ms. Andrea Marie Davis |
| First Address | San Diego, CA 92123-3543 |
| Second Address | Apo, AA 92055 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2020 |
| Last Update Date | 27/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.