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Organization
MICHAEL E. DAVIS DMD, PC
Active
Organization
MICHAEL E. DAVIS DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD DAVIS DMD (PRESIDENT)
(503) 248-1114
Entity
Organization
Contact information
Practice address
2250 NW FLANDERS ST, SUITE 212, PORTLAND, OR 97210-3443
(503) 248-1114
(503) 248-1827
Mailing address
2250 NW FLANDERS ST, SUITE 212, PORTLAND, OR 97210-3443
(503) 248-1114
(503) 248-1827
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4512
OR
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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