Individual
ELBERT R DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
201 EGLIN PKWY SE, FORT WALTON BEACH, FL 32548-5810
(850) 863-9050
(850) 863-5077
Mailing address
201 EGLIN PKWY SE, FORT WALTON BEACH, FL 32548-5810
(850) 863-9050
(850) 863-5077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16694
FL
Other
Enumeration date
09/28/2006
Last updated
10/06/2011
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