Organization
THE KID'S DENTIST, P.A.
Active
Other names
Bryaut The Kid's Dentist PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NNEKA DAVIS DMD (OWNER/PEDIATRIC DENTIST)
(443) 622-8908
Entity
Organization
Contact information
Practice address
7230 LEE DEFOREST DR, STE 107N, COLUMBIA, MD 21046-3202
(443) 622-8908
(443) 819-1659
Mailing address
7230 LEE DEFOREST DR, STE 107N, COLUMBIA, MD 21046-3202
(443) 622-8908
(443) 819-1659
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025585800
—
MD
Enumeration date
09/14/2006
Last updated
03/04/2024
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