Individual
LISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5901 STONE PINE RD, WILMINGTON, DE 19808-1015
(302) 893-4448
Mailing address
5901 STONE PINE RD, WILMINGTON, DE 19808-1015
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
G2-0002498
DE
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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