Individual
DR. KEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
33 SICOMAC RD, NORTH HALEDON, NJ 07508-2971
(973) 427-0300
Mailing address
321 MENDHAM RD, BERNARDSVILLE, NJ 07924-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
008041
NJ
1223G0001X
General Practice Dentistry
Primary
22DI00804100
NJ
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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