Dustin Davis

NPI #1588145031 in Fort Sill, Oklahoma

Provider Information

NPI Number: 1588145031
Entity Type: Individual
Name: Dustin Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Aug 23, 2018
Last Updated: Aug 23, 2018

Practice Location

Address: USA DENTAL HEALTH ACTIVITY 652 HAMILTON RD.
City: Fort Sill
State: Oklahoma
ZIP Code: 73503
Phone: (580) 442-3905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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