Organization
LAURA C DAVIS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA C DAVIS DDS (OWNER/ORTHODONTIST)
(770) 471-5255
Entity
Organization
Contact information
Practice address
4132 ATLANTA HWY, SUITE 202, LOGANVILLE, GA 30052-4930
(678) 475-7817
(678) 475-7607
Mailing address
4132 ATLANTA HWY, SUITE 202, LOGANVILLE, GA 30052-4930
(678) 475-7817
(678) 475-7607
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN011238
GA
Other
Enumeration date
01/23/2007
Last updated
09/18/2008
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