Individual
DUSTIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
USA DENTAL HEALTH ACTIVITY 652 HAMILTON RD., FORT SILL, OK 73503
(580) 442-3905
Mailing address
USA DENTAL HEALTH ACTIVITY 652 HAMILTON RD., FORT SILL, OK 73503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
34577
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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