Individual
DR. GEORGE MAX DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14241 AMBAUM BLVD SW SUITE R, BURIEN, WA 98166-1421
(206) 243-2534
(206) 243-7550
Mailing address
14241 AMBAUM BLVD SW SUITE R, BURIEN, WA 98166-1421
(206) 243-2534
(206) 243-7550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE00005788
STATE LICENSE
WA
Enumeration date
11/07/2006
Last updated
07/08/2007
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