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1083628143
RUSSELL M DAVIS
SAINT MARTINVILLE, LA
NPI
1083628143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: LA 5239)
Enumeration Date
2006-07-27
Last Update Date
2022-07-21
Business Address
RUSSELL M DAVIS DDS
409 N MAIN ST
SAINT MARTINVILLE, LA 70582-4118
Phone number: 337-391-3111
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Mailing Address
RUSSELL M DAVIS DDS
409 N MAIN ST
SAINT MARTINVILLE, LA 70582-4118
Phone number: 337-391-3111
Copy
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