DR. Russell Minor Davis, D.M.D.
NPI #1801908496 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1801908496
- Entity Type
- Individual
- Name
- DR. Russell Minor Davis, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2204 SUNRISE BLVD
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34950-5367
- Phone
- (772) 464-4684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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