Individual
DR. JOHN TOLIVER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
213 S BROAD ST, MOORESVILLE, NC 28115-3103
(704) 663-3691
(704) 662-3237
Mailing address
213 S BROAD ST, MOORESVILLE, NC 28115-3103
(704) 663-3691
(704) 662-3237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5438
NC
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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