Individual
DR. ROBERT EVAN DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2117 CORPORATE DR., SUITE 100, WAUKESHA, WI 53189
(262) 547-5813
(262) 547-5835
Mailing address
2117 CORPORATE DR., SUITE 100, WAUKESHA, WI 53189
(262) 547-5813
(262) 547-5835
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5000400-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33662900
—
WI
Enumeration date
11/06/2006
Last updated
05/13/2011
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