Individual
DR. MICHAEL J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1818 8TH AVENUE, FORT WORTH, TX 76110
(817) 920-0882
(817) 920-0709
Mailing address
1818 8TH AVE, FORT WORTH, TX 76110-1391
(817) 920-0882
(817) 920-0709
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13175
TX
Other
Enumeration date
06/06/2007
Last updated
07/07/2010
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