| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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