Organization
GERALD DAVIS, DDS, INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DEWAYNE DAVIS DDS (DENTIST)
(580) 255-3570
Entity
Organization
Contact information
Practice address
1309 JACKIE RD, DUNCAN, OK 73533
(580) 255-3570
(580) 255-5015
Mailing address
1309 JACKIE RD, DUNCAN, OK 73533
(580) 255-3570
(580) 255-5015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4461-83
OK
Other
Enumeration date
09/20/2006
Last updated
07/23/2008
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