Individual
TERESA K DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4401 W MEMORIAL RD, SUITE 135, OKLAHOMA CITY, OK 73134-1785
(405) 751-5515
(405) 751-6606
Mailing address
4401 W MEMORIAL RD, SUITE 135, OKLAHOMA CITY, OK 73134-1785
(405) 751-5515
(405) 751-6606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5510
OK
Other
Enumeration date
06/12/2006
Last updated
12/27/2007
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