Individual
DR. MATTHEW JOHN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
502 US HIGHWAY 70 W, HAVELOCK, NC 28532-9510
(252) 447-3405
Mailing address
502 US HIGHWAY 70 W, HAVELOCK, NC 28532-9510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11515
NC
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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