Individual
RUSSELL M DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
409 N MAIN ST, SAINT MARTINVILLE, LA 70582-4118
(337) 391-3111
(337) 394-3167
Mailing address
409 N MAIN ST, SAINT MARTINVILLE, LA 70582-4118
(337) 391-3111
(337) 394-3167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5239
LA
Other
Enumeration date
07/27/2006
Last updated
07/21/2022
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