Organization
DEANNA L DAVIS DDS PLLC
Active
Other names
Smile Village Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA LYNN DAVIS D.D.S. (GENERAL DENTIST)
(713) 817-2966
Entity
Organization
Contact information
Practice address
12810 BROADWAY ST. STE, 110, PEARLAND, TX 77584-6707
(713) 817-2966
Mailing address
13207 BROAD BAY LN, PEARLAND, TX 77584-6707
(713) 817-2966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22277
TX
Other
Enumeration date
03/02/2016
Last updated
03/15/2016
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