Organization
NATHANIEL DAVIS,DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL DAVIS DDS (DENTIST)
(248) 350-9415
Entity
Organization
Contact information
Practice address
24060 WEST 10 MILE, SUITE 101, SOUTHFIELD, MI 48033
(248) 350-9415
(248) 350-9412
Mailing address
24060 W 10 MILE RD, SUITE 101, SOUTHFIELD, MI 48033-3006
(248) 350-9415
(248) 350-9412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
06/26/2008
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