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Individual
DR. LAURA BETH DAVIS
Active
Individual
DR. LAURA BETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3665
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154434561
NPI
AL
05
—
126402
—
AL
01
—
3665
STATE LICENSE
AL
01
—
511-13757
BCBS
AL
01
—
511-3755
BCBS
AL
Enumeration date
08/17/2006
Last updated
12/08/2011
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