Individual
DR. GREGORY S DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 MOHALA STREET, SUITE 5, KAUNAKAKAI, HI 96748
(808) 553-3254
(808) 553-3006
Mailing address
PO BOX 297, KAUNAKAKAI, HI 96748-0297
(808) 553-3254
(808) 553-3006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
894
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06714301
—
HI
Enumeration date
01/31/2007
Last updated
07/08/2007
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