Individual
CAROLL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
393 E RIVERSIDE DR, SUITE 1A, SAINT GEORGE, UT 84790-6995
(435) 628-1100
Mailing address
393 E RIVERSIDE DR, SUITE 1A, SAINT GEORGE, UT 84790-6995
(435) 628-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7069240
UT
Other
Enumeration date
06/14/2006
Last updated
01/29/2010
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