Individual
DR. JOSHUA BLUE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2248 E 53RD ST, INDIANAPOLIS, IN 46220-3479
(317) 784-4234
Mailing address
3112 BRETTON CT, INDIANAPOLIS, IN 46268-2765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010826A
IN
Other
Enumeration date
10/27/2006
Last updated
07/09/2007
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