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Organization
CLARA P DAVIS, DDS, PLLC
Active
Organization
CLARA P DAVIS, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA POWELL DAVIS DDS (MEMBER/MANAGER)
(919) 598-9001
Entity
Organization
Contact information
Practice address
121 SHERRON RD, SUITE 108, DURHAM, NC 27703-9515
(919) 598-0780
(919) 598-0781
Mailing address
121 SHERRON RD, SUITE 108, DURHAM, NC 27703-9515
(919) 598-0780
(919) 598-0781
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899016M
—
NC
01
—
9016M
BCBS
NC
Enumeration date
03/25/2008
Last updated
06/19/2008
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