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Individual
DR. LARRY DENNIS DAVIS SR.
Active
Individual
DR. LARRY DENNIS DAVIS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04552
TN
122300000X
Dentist
Primary
DN122431
GA
1223G0001X
General Practice Dentistry
3979-18
MS
1223G0001X
General Practice Dentistry
8673
SC
Other
Enumeration date
07/28/2014
Last updated
01/17/2024
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