Trevor M Davis, DMD Valid NPI

Individual provider · Dentist · Bernalillo, NM

NPI

1750762076

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DD4303 (NM)

Sex

Male

Sole proprietor

No

Enumerated

2015-06-11

Last updated

2017-01-04