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Organization
MARK V DAVIS DMD PLLC
Active
Organization
MARK V DAVIS DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVIS DMD (OFFICER)
(727) 531-9363
Entity
Organization
Contact information
Practice address
14010 ROOSEVELT BLVD STE 704, CLEARWATER, FL 33762-3820
(727) 531-9363
Mailing address
14010 ROOSEVELT BLVD STE 704, CLEARWATER, FL 33762-3820
(727) 531-9363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4549
FL
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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