Individual
DR. LEAH B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
1209 E COLORADO AVE, URBANA, IL 61801-6392
(217) 337-6000
Mailing address
1209 E COLORADO AVE, URBANA, IL 61801-6392
(217) 337-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019030590
IL
Other
Enumeration date
06/16/2014
Last updated
10/03/2016
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