Charles Gentry Davis JR. D.M.D.

NPI 1831306349 - Dentist - 1223G0001X

NPI Details
NPI 1831306349
Gender Male
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
331 DE BALIVIERE AVE
SAINT LOUIS MO, 63112-1803, US
Phone (314) 454-0888
Fax (314) 454-0061
Business Location
331 DE BALIVIERE AVE
SAINT LOUIS MO, 63112-1803, US
Phone (314) 454-0888
Fax (314) 454-0061
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 015355
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According to our database, Dr. Charles Gentry Davis JR. D.M.D. NPI is 1831306349, taxonomy code is 1223G0001X and license number is 015355, license state is located at Missouri. Charles Gentry Davis JR. D.M.D. physically located at 331 De Baliviere Ave, Saint Louis MO, 63112-1803. NPI Number Charles Gentry Davis JR. D.M.D. has the Individual type.

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1831306349 NPI number is provided on an as is basis without warranty of any kind. 1831306349 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Gentry Davis JR. D.M.D. are for informational purposes only.