Organization
DAVIES GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTI ANN DAVIES DDS (OWNER)
(262) 754-2454
Entity
Organization
Contact information
Practice address
2117 CORPORATE DR STE 200, WAUKESHA, WI 53189-7994
(262) 754-2454
Mailing address
2117 CORPORATE DR STE 200, WAUKESHA, WI 53189-7994
(262) 754-2454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6501-15
WI
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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