Organization
LAS DAVIS ENTERPRISES
Active
Organization
LAS DAVIS ENTERPRISES
Active
Other names
Miracle-Ear
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DAVIS (PRESIDENT)
(314) 328-0088
Entity
Organization
Contact information
Practice address
911 STATE RTE 3, WATERLOO, IL 62298
(618) 844-1401
(618) 504-2086
Mailing address
4200 N ILLINOIS, SUITE D, SWANSEA, IL 62226
(618) 234-7368
(618) 416-1815
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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