Individual
DEANGELO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3722
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026858
OH
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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