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1023097425
THEODORE DAVIS
NEWARK, NJ
NPI
1023097425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ 2108128)
Enumeration Date
2006-01-13
Last Update Date
2007-07-08
Business Address
-- THEODORE DAVIS DMD
804 CLINTON AVE CLINTON HILL DENTAL ASSOC
NEWARK, NJ 07108
Phone number: 973-374-5200
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Mailing Address
-- THEODORE DAVIS DMD
804 CLINTON AVE
NEWARK, NJ 07108
Phone number: 973-374-5200
Copy
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