Individual
DR. MANUEL A. DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 140, MARIETTA, GA 30060-1155
(770) 422-7630
(770) 422-6017
Mailing address
55 WHITCHER ST NE, SUITE 140, MARIETTA, GA 30060-1155
(770) 422-7630
(770) 422-6017
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00333737A
—
GA
Enumeration date
07/28/2006
Last updated
01/05/2016
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