| NPI | 1013666163 |
|---|---|
| Doing Business As | DAVIS DENTISTRY WEST |
| Entity Type | Organization |
| Authorized Contact | ANN MARIE MAGGIO Ower/Dentist 615-624-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-04-01 |