Individual
MRS. KARA FAYE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.D,A., R.D.H.
Contact information
Practice address
15325 LEE HWY, BRISTOL, VA 24202-4013
(276) 781-6116
(276) 591-5959
Mailing address
15325 LEE HWY, BRISTOL, VA 24202-4013
(276) 781-6116
(276) 591-5959
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402204467
VA
126800000X
Dental Assistant
195701
VA
Other
Enumeration date
07/15/2012
Last updated
07/15/2012
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