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DAVIS ANDREA FABIOLA GATICA PADILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2945 PETERS CREEK RD NW, ROANOKE, VA 24019-3513
(540) 562-4001
Mailing address
395 BRITTANY FARMS RD, NEW BRITAIN, CT 06053-1100
(475) 312-4269

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401419399
VA
390200000X
Student in an Organized Health Care Education/Training Program
13528
CT

Other

Enumeration date
07/24/2022
Last updated
08/27/2025
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