Organization
DAVIS FAMILY DENTAL, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER M DAVIS DDS (OWNER)
(262) 310-1860
Entity
Organization
Contact information
Practice address
1201 OAK ST STE D, WEST BEND, WI 53095-3800
(262) 310-1860
(262) 310-1861
Mailing address
N161W20685 KAMI LN, JACKSON, WI 53037-8937
(262) 622-1571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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