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Organization

KASEY DAVIS DENTISTRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KASEY SHORES DAVIS D.M.D. (OWNER/DENTIST)
(205) 478-2345
Entity
Organization

Contact information

Practice address
589A SHADES CREST RD, HOOVER, AL 35226-1249
(205) 478-2345
Mailing address
589A SHADES CREST RD, HOOVER, AL 35226-1249

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5641
AL

Other

Enumeration date
04/15/2014
Last updated
04/15/2014
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