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Organization
RANDY DAVIS DENTISTRY PA
Active
Organization
RANDY DAVIS DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY DAVIS DDS (PRESIDENT)
(785) 539-0804
Entity
Organization
Contact information
Practice address
1133 COLLEGE AVE, STE A103, MANHATTAN, KS 66502-2770
(785) 539-0804
(785) 587-9810
Mailing address
1133 COLLEGE AVE, STE A103, MANHATTAN, KS 66502-2770
(785) 539-0804
(785) 587-9810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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