Individual
DR. MARK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4545 E MAIN ST, COLUMBUS, OH 43213-3038
(614) 231-1600
Mailing address
279 LEAR ST, COLUMBUS, OH 43206-1288
(304) 380-7408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026880
OH
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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