Individual
JAMES ROBERT DAVIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
210 S RACE ST, MISHAWAKA, IN 46544-2032
(574) 259-5144
Mailing address
210 S RACE ST, MISHAWAKA, IN 46544-2032
(574) 259-5144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7101
IN
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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