Individual
KIRK ROBERT DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2117 CORPORATE DR, SUITE 300, WAUKESHA, WI 53189-7994
(262) 542-9151
(262) 542-5010
Mailing address
2117 CORPORATE DR, SUITE 300, WAUKESHA, WI 53189-7994
(262) 542-9151
(262) 542-5010
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5033-015
WI
Other
Enumeration date
08/06/2006
Last updated
05/19/2011
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