Individual
DR. JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1200 ERNEST W BARRETT PKWY NW, KENNESAW, GA 30144-7557
(678) 805-8057
Mailing address
1167 GRASSY OAT LN, LAWRENCEVILLE, GA 30045-5496
(678) 313-9181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122446
GA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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