DR. Susan Renee Davis, DDS

NPI #1386647600 in Laverne, Oklahoma

Provider Information

NPI Number: 1386647600
Entity Type: Individual
Name: DR. Susan Renee Davis, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 31, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 703 S OKLAHOMA DRIVE
City: Laverne
State: Oklahoma
ZIP Code: 73848-1230
Phone: (580) 921-3343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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