Individual
MICHAEL R. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401417779
VA
1223P0221X
Pediatric Dentistry
30.026399
OH
Other
Enumeration date
03/02/2020
Last updated
10/24/2024
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