Michael Wayne Davis DDS

NPI 1164411682 - Dentist - 1223G0001X

NPI Details
NPI 1164411682
Gender Male
Enumeration Date 10/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4100 HAWKINS ST NE
MIRA CONSULTING
ALBUQUERQUE NM, 87109-4548, US
Phone (505) 898-2797
Fax
Business Location
12315 TAMARAC TRL NE
ALBUQUERQUE NM, 87111-6210, US
Phone (505) 294-0959
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New Mexico
License Number DD2044
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According to our database, Dr. Michael Wayne Davis DDS NPI is 1164411682, taxonomy code is 1223G0001X and license number is DD2044, license state is located at New Mexico. Michael Wayne Davis DDS physically located at 4100 Hawkins St Ne, Albuquerque NM, 87109-4548. NPI Number Michael Wayne Davis DDS has the Individual type.

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1164411682 NPI number is provided on an as is basis without warranty of any kind. 1164411682 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Wayne Davis DDS are for informational purposes only.