Individual
HUNTER CLARK DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
230 W. MAIN ST, OTTAWA, IL 61350
(815) 434-0492
(815) 434-0502
Mailing address
230 W. MAIN ST, OTTAWA, IL 61350
(815) 434-0492
(815) 434-0502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016378
IL
Other
Enumeration date
01/17/2007
Last updated
10/01/2008
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