Laura C Davis Dds | |
5370 Stone Mountain Hwy Suite 140 Stone Mountain GA 30087-3581 | |
(770) 413-7676 | |
(770) 413-7660 |
Full Name | Laura C Davis Dds |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 5370 Stone Mountain Hwy, Stone Mountain, Georgia |
Authorized Official Name and Position | Laura C Davis (OWNER/ORTHODONTIST) |
Authorized Official Contact | 7704715255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laura C Davis Dds 5370 Stone Mountain Hwy Suite 140 Stone Mountain GA 30087-3581 Ph: (770) 413-7676 | Laura C Davis Dds 5370 Stone Mountain Hwy Suite 140 Stone Mountain GA 30087-3581 Ph: (770) 413-7676 |
NPI Number | 1811042690 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 09/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811042690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN011238 (Georgia) | Primary |
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