Individual
RANDY N DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1133 COLLEGE AVE, STE A 103, MANHATTAN, KS 66502-2770
(785) 539-0804
(785) 587-9810
Mailing address
1133 COLLEGE AVE, STE A 103, MANHATTAN, KS 66502-2770
(785) 539-0804
(785) 587-9810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6095
KS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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