Individual
DR. LAURA JEANETTE DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
120 OAKMONT DR, GREENVILLE, NC 27858-5936
(252) 756-7789
(252) 756-1466
Mailing address
120 OAKMONT DR, GREENVILLE, NC 27858-5936
(252) 756-7789
(252) 756-1466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902286
—
NC
Enumeration date
08/04/2006
Last updated
07/08/2007
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