Individual
CRYSTAL MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL HYGENSIT
Contact information
Practice address
832 W CENTRAL BLVD, ORLANDO, FL 32805-1809
(407) 858-1430
Mailing address
6101 LAKE ELLENOR DR, ORLANDO, FL 32809-4616
(407) 858-1400
(407) 858-5523
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
FL
Other
Enumeration date
03/16/2018
Last updated
03/17/2018
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