Individual provider · Type 1 NPI

Wayne M. Davis

General Practice Dentistry · Boise, ID

NPI number 1720109465 Active

About NPI 1720109465

Wayne M. Davis's National Provider Identifier is 1720109465, issued on Apr 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.