| Mary K Davis DDS LLC | |
|
3111 Keene Ct Columbia MO 65201-6639 | |
| (573) 442-1869 | |
| (573) 442-4165 |
| Full Name | Mary K Davis DDS LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3111 Keene Ct, Columbia, Missouri |
| Authorized Official Name and Position | Mary Davis (OWNER) |
| Authorized Official Contact | 5734421869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K Davis DDS LLC 3111 Keene Ct Columbia MO 65201-6639 Ph: (573) 442-1869 | Mary K Davis DDS LLC 3111 Keene Ct Columbia MO 65201-6639 Ph: (573) 442-1869 |
| NPI Number | 1710622527 |
|---|---|
| Provider Enumeration Date | 05/05/2022 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710622527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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