Individual
DR. AUSTIN REECE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1571 SC - 544, CONWAY, SC 29526
(843) 347-4190
Mailing address
5308 ARROW CT, WILMINGTON, NC 28412-7746
(910) 352-4373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10166
SC
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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