Organization
MASON R DAVIS DDS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASON ROSS DAVIS DDS (OWNER)
(405) 822-0580
Entity
Organization
Contact information
Practice address
1623 S PEORIA AVE, TULSA, OK 74120-6203
(918) 585-2254
(918) 583-8765
Mailing address
1623 S PEORIA AVE, TULSA, OK 74120-6203
(918) 585-2254
(918) 583-8765
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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