Individual
DR. GINA RENEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
1720 DESTINY LN, BOWLING GREEN, KY 42104-1063
(270) 842-3554
(270) 781-4644
Mailing address
1720 DESTINY LN, BOWLING GREEN, KY 42104-1063
(270) 842-3554
(270) 781-4644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6531
KY
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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