Individual
GWYN DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8420 UNIVERSITY EXEC PARK DR, SUITE 805, CHARLOTTE, NC 28262-3381
(704) 594-9250
Mailing address
7966 TOTTENHAM DR, HARRISBURG, NC 28075-8356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4826
NC
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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