Individual
TERRY W DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14331 E JACKSON ST, PARKER CITY, IN 47368-9401
(765) 468-6814
Mailing address
14331 E JACKSON ST, PARKER CITY, IN 47368-9401
(765) 468-6814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7848
IN
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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