Organization
GINA R. DAVIS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA RENEE DAVIS DDS (OWNER)
(704) 547-8734
Entity
Organization
Contact information
Practice address
10320 MALLARD CREEK RD, SUITE 160, CHARLOTTE, NC 28262-9756
(704) 547-8734
(704) 547-9605
Mailing address
10320 MALLARD CREEK RD, SUITE 160, CHARLOTTE, NC 28262-9756
(704) 547-8734
(704) 547-9605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6813
NC
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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