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1861025090
KEITH DAVIS
GREEN BAY, WI
NPI
1861025090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI 5000617)
Enumeration Date
2020-02-17
Last Update Date
2020-02-17
Business Address
KEITH DAVIS DDS
430 MAIN ST
GREEN BAY, WI 54301-5115
Phone number: 920-431-0345
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Mailing Address
KEITH DAVIS DDS
3333 N MAYFAIR RD STE 311
WAUWATOSA, WI 53222-3219
Phone number:
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