| NPI | 1730280280 |
|---|---|
| Other Name | LARRY HUEBER DAVIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS 5808) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 014207) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |