| NPI | 1891833059 |
|---|---|
| Other Name | MARK W DAVIES |
| Entity Type | Organization |
| Authorized Contact | MARK W DAVIES Owner 952-934-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D11876) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |