Individual
ANTHONY LAMAR DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
NBHC MAYPORT, 2104 MASSEY AVENUE, DENTAL DEPT, JACKSONVILLE, FL 32228
(904) 270-4460
Mailing address
NBHC MAYPORT, 2104 MASSEY AVENUE, DENTAL DEPT, JACKSONVILLE, FL 32228
(904) 270-4460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401412732
VA
1223G0001X
General Practice Dentistry
Primary
DN19529
FL
Other
Enumeration date
02/13/2007
Last updated
08/09/2023
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