Individual
DR. ALAN MARK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
14416 75TH RD # C, FLUSHING, NY 11367-2441
(973) 879-0846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027454
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2023
Last updated
05/01/2024
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