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KENNETH HOUSTON DAVIS DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1730343013

Individual Registrant:
 KENNETH HOUSTON DAVIS DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
986 S MAIN ST  SNOWFLAKE, AZ 85937-5500 US
Tel: 928-536-5773  Fax: --

Contact information for business:
PO BOX 1047  PINEDALE, AZ 85934-1047 US
Tel: 480-540-4445  Fax: --

Registration Information:
NPI: 1730343013
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AZD7589

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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