Individual
MADELEINE B CARLBORG-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1629 POYNTZ AVE, MANHATTAN, KS 66502-4148
(785) 776-1771
(785) 539-3905
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61839
KS
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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