Individual
MICHAEL J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20936 TIMBERLAKE RD, LYNCHBURG, VA 24502-3328
(434) 237-0004
(434) 455-2735
Mailing address
20936 TIMBERLAKE RD, LYNCHBURG, VA 24502-7240
(434) 237-0004
(434) 455-2735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005086
VA
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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