Paul Douglas Davis, DDS

NPI #1114197514 in Petersburg, Illinois

Provider Information

NPI Number: 1114197514
Entity Type: Individual
Name: Paul Douglas Davis, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 3, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: 213 N 5TH ST
City: Petersburg
State: Illinois
ZIP Code: 62675-1303
Phone: (217) 632-2077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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