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Individual
DR. DAVID ELDON DAVIS
Active
Individual
DR. DAVID ELDON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11067
TX
1223P0300X
Periodontics
5973
NE
Other
Enumeration date
01/25/2006
Last updated
02/14/2008
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