Individual
MICHELLE KOCH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7800 PARKWAY DR, LEEDS, AL 35094-2119
(205) 699-8583
Mailing address
7800 PARKWAY DR, LEEDS, AL 35094-2119
(205) 699-8583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5771
AL
Other
Enumeration date
06/09/2010
Last updated
06/25/2013
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