Individual
MR. BRIAN T DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2417 SHALLOWFORD RD, MARIETTA, GA 30066
(770) 926-6886
(770) 926-2228
Mailing address
2417 SHALLOWFORD RD, MARIETTA, GA 30066
(770) 926-6886
(770) 926-2228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9414
GA
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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