Individual
DR. LISA MILLER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
200 NORTHGATE DR., MIDLAND, MI 48640
(989) 631-1334
(989) 631-0309
Mailing address
200 NORTHGATE DR., MIDLAND, MI 48640
(989) 631-1334
(989) 631-0309
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901016370
MI
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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