Organization
LARRY H DAVIS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE HUBART DAVIS DDS (PRESIDENT)
(316) 685-9791
Entity
Organization
Contact information
Practice address
3001 E CENTRAL AVE, WICHITA, KS 67214-4814
(316) 685-9791
(312) 685-6319
Mailing address
3001 E CENTRAL AVE, WICHITA, KS 67214-4814
(316) 685-9791
(312) 685-6319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5808
KS
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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