Individual
DR. MARK S. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1761 S NAPERVILLE RD, 105, WHEATON, IL 60189-5846
(630) 668-6180
(630) 668-6441
Mailing address
1761 S NAPERVILLE RD, 105, WHEATON, IL 60189-5846
(630) 668-6180
(630) 668-6441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-019101
IL
Other
Enumeration date
12/18/2006
Last updated
05/13/2009
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