Laura C Davis Dds

NPI 1063566008 - Dentist - 1223X0400X

NPI Details
NPI 1063566008
Enumeration Date 01/23/2007
Last Updated 09/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LAURA C LAURA
Position OWNER/ORTHODONTIST
Phone (678) 475-7817
Fax (678) 475-7607
Practice Location
4132 ATLANTA HWY
SUITE 202
LOGANVILLE GA, 30052-4930, US
Phone (678) 475-7817
Fax (678) 475-7607
Business Location
4132 ATLANTA HWY
SUITE 202
LOGANVILLE GA, 30052-4930, US
Phone (678) 475-7817
Fax (678) 475-7607
Toxanomy
Taxonomy Code 1223X0400X
License State Georgia
License Number DN011238
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According to our database, Laura C Davis Dds NPI is 1063566008, taxonomy code is 1223X0400X and license number is DN011238, license state is located at Georgia. Laura C Davis Dds physically located at 4132 Atlanta Hwy, Loganville GA, 30052-4930. NPI Number 1033115704 has the healthcare provider type.

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1063566008 NPI number is provided on an as is basis without warranty of any kind. 1063566008 is maintained by the National Plan & Provider Enumeration System. The contents of Laura C Davis Dds are for informational purposes only.