Organization
DAVIS ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN S DAVIS JR. DMD (OWNER)
(864) 801-3500
Entity
Organization
Contact information
Practice address
150 SAGE CREEK WAY, GREER, SC 29650-0957
(864) 801-3500
Mailing address
150 SAGE CREEK WAY, GREER, SC 29650-0957
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6958
SC
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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