Individual
DR. THOMAS L DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
410 E ELLENDALE AVE STE 2, DALLAS, OR 97338-3052
(503) 623-2653
Mailing address
410 E ELLENDALE AVE STE 2, DALLAS, OR 97338-3052
(503) 623-2653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5426
OR
Other
Enumeration date
01/08/2007
Last updated
01/28/2011
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