Mary K Davis DDS LLC

NPI #1710622527 in Columbia, Missouri

Provider Information

NPI Number: 1710622527
Entity Type: Organization
Organization Name: Mary K Davis DDS LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 5, 2022
Last Updated: May 5, 2022

Practice Location

Address: 3111 KEENE CT
City: Columbia
State: Missouri
ZIP Code: 65201-6639
Phone: (573) 442-1869

Authorized Official

Name: MARY DAVIS, DDS
Title: OWNER
Phone: (573) 442-1869

Specialties & Taxonomy Codes

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

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