Organization
DAVIS AND ROBERTSON DMD. PSC
Active
Other names
Destiny Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA RENEE DAVIS DDS (DENTIST)
(270) 842-3554
Entity
Organization
Contact information
Practice address
1720 DESTINY LN, BOWLING GREEN, KY 42104-1063
(270) 842-3554
(270) 781-4644
Mailing address
1720 DESTINY LN, BOWLING GREEN, KY 42104-1063
(270) 842-3554
(270) 781-4644
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6708
KY
Other
Enumeration date
06/13/2007
Last updated
02/02/2016
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