Individual
JESSICA NICOLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
53 W MAPLE RD, CLAWSON, MI 48017-1109
(248) 268-2093
Mailing address
8261 CONTINENTAL AVE, WARREN, MI 48089-1625
(989) 251-2094
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016655
MI
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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