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Organization

CHRISTI M. DAVIS, DDS, PA III

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTI MICHELLE DAVIS DDS (PRESIDENT)
(919) 782-9560
Entity
Organization

Contact information

Practice address
2406 BLUE RIDGE ROAD, SUITE 210, RALEIGH, NC 27607-6452
(919) 782-9560
Mailing address
2406 BLUE RIDGE ROAD, SUITE 210, RALEIGH, NC 27607-6452
(919) 782-9560

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7533
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902RU
NC
Enumeration date
01/13/2012
Last updated
09/10/2012
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