| Mason R Davis Dds Plc | |
|
1623 S Peoria Ave Tulsa OK 74120-6203 | |
| (918) 585-2254 | |
| (918) 583-8765 |
| Full Name | Mason R Davis Dds Plc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1623 S Peoria Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Mason Ross Davis (OWNER) |
| Authorized Official Contact | 4058220580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mason R Davis Dds Plc 1623 S Peoria Ave Tulsa OK 74120-6203 Ph: (918) 585-2254 | Mason R Davis Dds Plc 1623 S Peoria Ave Tulsa OK 74120-6203 Ph: (918) 585-2254 |
| NPI Number | 1871247502 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871247502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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