Individual
MICHAEL R. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2400 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4281
(727) 623-8077
Mailing address
2400 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4281
(727) 623-8077
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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