GLENN DAVIS

SHAWNEE, OK
NPI1437198017
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  3839)
Enumeration Date2006-06-06
Last Update Date2007-07-08
Business Address
Dr. GLENN DAVIS D.D.S.
3703 N KICKAPOO AVE
SHAWNEE, OK 74804-1703
Phone number: 405-275-0640
Mailing Address
Dr. GLENN DAVIS D.D.S.
3703 N KICKAPOO AVE
SHAWNEE, OK 74804-1703
Phone number: 405-275-0640
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