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Organization

STACY L DAVIS DDS INC

Active
Other names
Dr. Stacy L. Davis
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STACY DAVIS DDS (OWNER / DENTIST)
(740) 947-1990
Entity
Organization

Contact information

Practice address
14062 US HIGHWAY 23 STE B, WAVERLY, OH 45690-9438
(740) 947-1990
Mailing address
14062 US HIGHWAY 23 STE B, WAVERLY, OH 45690-9438

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/15/2023
Last updated
04/11/2023
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