Individual
DR. SUSAN RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
703 S OKLAHOMA DRIVE, LAVERNE, OK 73848-1230
(580) 921-3343
(580) 921-3334
Mailing address
PO BOX 1230, LAVERNE, OK 73848-1230
(580) 921-5747
(580) 921-3334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4821
OK
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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