Individual
DR. DARRELL W. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PC
Contact information
Practice address
17020 E US HIGHWAY 40, SUITE #7, INDEPENDENCE, MO 64055-5361
(816) 350-7710
(816) 350-7711
Mailing address
17020 E US HIGHWAY 40, SUITE #7, INDEPENDENCE, MO 64055-5361
(816) 350-7710
(816) 350-7711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15136
MO
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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