Individual
DR. OLEN BEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10320 MALLARD CREEK RD., SUITE 150, CHARLOTTE, NC 28262
(704) 547-8438
(704) 547-9323
Mailing address
PO BOX 36, DAVIDSON, NC 28036
(443) 845-4647
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7835
NC
Other
Enumeration date
03/19/2007
Last updated
03/02/2011
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