Individual
DR. JOHN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
480 CENTRAL AVE., NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 06860-4490
(808) 471-1866
Mailing address
480 CENTRAL AVE., NAVAL HEALTH CLINIC HAWAII, PEARL HARBOR, HI 06860-4490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006286
VA
Other
Enumeration date
10/11/2005
Last updated
04/28/2014
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