Individual
DR. LONDAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2900 W GRAND AVE, CHICKASHA, OK 73018-5112
(405) 222-0222
Mailing address
1213 CALIFORNIA AVE, CHICKASHA, OK 73018-6729
(405) 668-0080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7180
OK
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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