Individual
DR. GLEN SANFORD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
16 BRISTOL ROAD, DAMARISCOTTA, ME 04543
(207) 563-5203
(207) 563-7383
Mailing address
16 BRISTOL ROAD, P.O. BOX 387, DAMARISCOTTA, ME 04543
(207) 563-5203
(207) 563-7383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3205
ME
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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