Individual
DR. LAURENCE DEAUBREY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
55 S STATE AVE, SUITE 3G2, INDIANAPOLIS, IN 46201-3802
(317) 972-7889
Mailing address
11706 CONGRESSIONAL CT, INDIANAPOLIS, IN 46235-6051
(317) 826-0755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010437
IN
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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