Individual
DR. BARTON GRANT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7470 S PARK DR, SAVAGE, MN 55378-3635
(952) 479-1571
(952) 479-1577
Mailing address
7470 S PARK DR, SAVAGE, MN 55378-3635
(952) 479-1571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11771
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751178700
—
MN
Enumeration date
12/15/2006
Last updated
08/05/2014
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