Organization
MARY K DAVIS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DAVIS DDS (OWNER)
(573) 442-1869
Entity
Organization
Contact information
Practice address
3111 KEENE CT, COLUMBIA, MO 65201-6639
(573) 442-1869
(573) 442-4165
Mailing address
3111 KEENE CT, COLUMBIA, MO 65201-6639
(573) 442-1869
(573) 442-4165
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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