Organization
KLAMATH SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C DAVIS DDS (OWNER)
(541) 882-9039
Entity
Organization
Contact information
Practice address
2301 MOUNTAIN VIEW BLVD STE D, KLAMATH FALLS, OR 97601-1137
(541) 882-9039
(866) 437-2057
Mailing address
2301 MOUNTAIN VIEW BLVD STE D, KLAMATH FALLS, OR 97601-1137
(541) 882-9039
(866) 437-2057
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
04/06/2017
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