Individual
DR. PAUL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
AUDREY EGLE DRIVE, SHEPHERDSTOWN, WV 25443
(304) 876-3791
(304) 876-9229
Mailing address
PO BOX 1568, SHEPHERDSTOWN, WV 25443-1568
(304) 876-3791
(304) 876-9229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3448
WV
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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