# REGINA R. DAVIS, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225478514
- **Authorized official:** DR. REGINA RENAE DAVIS DDS (OWNER/MEMBER)
- **Authorized official phone:** (734) 995-5191

## Contact information

- **Practice address:** 1240 N MAPLE RD, ANN ARBOR, MI 48103-2842
- **Practice address phone:** (734) 995-5191
- **Mailing address:** 1240 N MAPLE RD, ANN ARBOR, MI 48103-2842
- **Mailing address phone:** (734) 995-5191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901017453 | MI | Yes |

## Other

- **Enumeration date:** 07/01/2013
- **Last updated:** 07/01/2013
