Individual
DR. VIDA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2921 EMMORTON RD, ABINGDON, MD 21009-1631
(410) 515-7525
Mailing address
PO BOX 439, ABINGDON, MD 21009-0439
(410) 515-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08631
MD
Other
Enumeration date
12/14/2006
Last updated
09/18/2012
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