Individual
DAVIS BEARD WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
207 SERIO BLVD, FERRIDAY, LA 71334-2014
(318) 757-4561
Mailing address
110 US 61, NATCHEZ, MS 39120-4921
(601) 870-0304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4074-19
MS
1223G0001X
General Practice Dentistry
Primary
6969
LA
Other
Enumeration date
04/08/2019
Last updated
07/05/2019
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