| NPI | 1225647217 |
|---|---|
| Former Legal Business Name | MICHAEL A. DAVIS II, D.D.S., PLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A DAVIS Dentist/Owner 989-992-7628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |