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1164411682
MICHAEL WAYNE DAVIS
ALBUQUERQUE, NM
NPI
1164411682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD2044)
Enumeration Date
2005-10-18
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL WAYNE DAVIS DDS
4100 HAWKINS ST NE MIRA CONSULTING
ALBUQUERQUE, NM 87109-4548
Phone number: 505-898-2797
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Mailing Address
Dr. MICHAEL WAYNE DAVIS DDS
12315 TAMARAC TRL NE
ALBUQUERQUE, NM 87111-6210
Phone number: 505-294-0959
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