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Organization

MILA DAVIS, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MILA DAVIS (OWNER)
(214) 436-4774
Entity
Organization

Contact information

Practice address
12398 FM 423, SUITE 1900, FRISCO, TX 75033
(214) 436-4774
Mailing address
12398 FM 423, SUITE 1900, FRISCO, TX 75033-4758

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21147
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163638305
TX
Enumeration date
03/15/2017
Last updated
03/15/2017
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