Individual
DR. ELLIOT R. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
80 5TH AVE, #1607, NEW YORK, NY 10011-8002
(212) 645-9255
Mailing address
80 5TH AVE, #1607, NEW YORK, NY 10011-8002
(212) 645-9255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NY39321
NY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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