Individual
DR. JONATHAN MARK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1410 HIGHLAND AVE., #203, NEEDHAM, MA 02492
(781) 444-2669
Mailing address
1410 HIGHLAND AVE., #203, NEEDHAM, MA 02492
(781) 444-2669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MA15357
MA
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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