Individual
JENNIFER DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
8267 LITTLE RD, NEW PORT RICHEY, FL 34654
(727) 201-5803
Mailing address
8267 LITTLE RD, NEW PORT RICHEY, FL 34654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20883
FL
Other
Enumeration date
09/09/2014
Last updated
12/29/2015
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