Individual
DR. MICHAEL ANTONIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3231 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46208-5848
(317) 923-6964
(317) 923-4491
Mailing address
3231 N MERIDIAN ST, SUITE 100, INDIANAPOLIS, IN 46208-5848
(317) 923-6964
(317) 923-4491
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19002113
IN
Other
Enumeration date
01/18/2007
Last updated
07/09/2007
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