Individual
DR. MADISON MARIELENA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
119 W CROSSROADS BLVD STE E, SARATOGA SPRINGS, UT 84045-5563
(385) 462-6346
Mailing address
1621 N APACHE RD, SARATOGA SPRINGS, UT 84045-5802
(505) 414-2198
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14194109-9926
UT
Other
Enumeration date
05/29/2024
Last updated
12/23/2024
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