Individual
DR. GREG RON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
467 S RIVERSHORE LN, EAGLE, ID 83616-4978
(208) 939-9235
(208) 939-9235
Mailing address
467 S RIVERSHORE LN, EAGLE, ID 83616-4978
(208) 939-9235
(208) 939-9235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3175
ID
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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