Individual
NILA LAVENDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
23320 HIGHWAY 99, EDMONDS, WA 98026-8744
(425) 640-5500
(425) 640-5520
Mailing address
23320 HIGHWAY 99, EDMONDS, WA 98026-8744
(425) 640-5500
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH 60503564
WA
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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