Individual
DR. GERALD WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
356 E VIRGINIA AVE, VINTON, VA 24179-3405
(540) 344-7222
(540) 344-6631
Mailing address
356 E VIRGINIA AVE, P. O. BOX 824, VINTON, VA 24179-3405
(540) 344-7222
(540) 344-6631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004995
VA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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