Individual
DR. MARK A, DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15775 HIGHWAY 16 E, SHIRLEY, AR 72153-8930
(501) 723-8113
(501) 723-8117
Mailing address
15775 HIGHWAY 16 E, SHIRLEY, AR 72153-8930
(501) 723-8113
(501) 723-8117
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2455
AR
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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