Individual
DR. KENZIE GAINES DAVIDOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5505 EDMONDSON PIKE STE 201, NASHVILLE, TN 37211-5869
(615) 398-4343
Mailing address
5505 EDMONDSON PIKE STE 201, NASHVILLE, TN 37211-5869
(615) 398-4343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11502
TN
Other
Enumeration date
06/10/2015
Last updated
10/17/2022
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