Individual
DR. DUANE ALLEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1704 JEFFERSON AVE, MOUNT VERNON, IL 62864-4331
(618) 244-2440
(618) 244-0607
Mailing address
12107 E IDLEWOOD DR, MOUNT VERNON, IL 62864-8415
(618) 242-0915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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