Organization
MARK DAVIS, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C DAVIS DDS (OWNER)
(541) 947-4066
Entity
Organization
Contact information
Practice address
2301 MOUNTAIN VIEW BLVD STE D, KLAMATH FALLS, OR 97601-1137
(541) 882-9039
(866) 437-2057
Mailing address
733 N 1ST ST, LAKEVIEW, OR 97630-1507
(541) 947-4066
(541) 947-3675
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D8238
OR
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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