Individual
COLIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3708 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4419
(253) 720-4324
Mailing address
8408 WARREN DR NW, GIG HARBOR, WA 98335-6041
(253) 720-4324
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60891705
WA
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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