Randy N Davis, DDS Valid NPI
Individual provider · General Practice Dentistry · Manhattan, KS
- NPI
- 1134143050
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6095 (KS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-07-26
- Last updated
- 2007-07-08
Practice location
1133 College Ave, Ste A 103
Manhattan, KS 66502-2770
(785) 539-0804