Organization
MARK M. DAVIS, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK M DAVIS D.D.S. (OWNER)
(918) 742-8100
Entity
Organization
Contact information
Practice address
5301 S LEWIS AVE, TULSA, OK 74105-6539
(918) 742-8100
(918) 858-1049
Mailing address
5301 S LEWIS AVE, TULSA, OK 74105-6539
(918) 858-1049
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
OK
Other
Enumeration date
08/11/2005
Last updated
07/21/2022
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