Organization
DR.V.DAVIS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIDA DAVIS DDS (CORPORATE OFFICER)
(410) 515-7525
Entity
Organization
Contact information
Practice address
2921 EMMORTON RD, ABINGDON, MD 21009-1631
(410) 515-7525
Mailing address
PO BOX 439, ABINGDON, MD 21009-0439
(410) 515-7525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08631
MD
Other
Enumeration date
12/14/2006
Last updated
08/24/2012
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