Individual
KEVIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
311 S MAIN ST, NORWOOD, NC 28128-7429
(704) 474-3152
Mailing address
2013 HAMORTON PL, CHARLOTTE, NC 28205-3529
(919) 906-2660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12221
NC
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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