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NPI Code Detail

MEDICARE: DR. DAVIS Y K LOUIE DDS

MEDICARE:  DR. DAVIS Y K LOUIE  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry032740CA

General Provider Information

NPI Number : 1003972795
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVIS Y K LOUIE DDS
Provider Business Mailing Address
First Line : 1401 NORIEGA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-4431
Country : US
Telephone Number : 415-681-3111
Fax Number : 419-781-3111
Provider Business Practice Location Address
First Line : 1401 NORIEGA ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-4431
Country : US
Telephone Number : 415-681-3111
Fax Number : 419-781-3111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVIS Y K LOUIE DDS” Practice Location

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