Individual
DR. MATTHEW DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
604 S 52ND ST, ROGERS, AR 72758-8601
(479) 286-0040
Mailing address
604 S 52ND ST, ROGERS, AR 72758-8601
(479) 286-0040
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4148
AR
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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