Individual
MARK M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5301 S LEWIS AVE, TULSA, OK 74105-6539
(918) 742-8100
(918) 742-8159
Mailing address
5301 S LEWIS AVE, TULSA, OK 74105-6539
(918) 742-8100
(918) 742-8159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4353
OK
Other
Enumeration date
08/07/2006
Last updated
05/30/2015
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