Individual
DR. MARK W DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
500 W 79TH ST, CHANHASSEN, MN 55317-8312
(952) 934-7987
(952) 934-5732
Mailing address
500 W 79TH ST, CHANHASSEN, MN 55317-8312
(952) 934-7987
(952) 934-5732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11876
MN
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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