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Individual

DR. EDWARD T DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
303 PRIME PT, PEACHTREE CITY, GA 30269-3308
(770) 487-2363
(770) 487-8790
Mailing address
303 PRIME PT, PEACHTREE CITY, GA 30269-3308
(770) 487-2363
(770) 487-8790

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08851
GA

Other

Enumeration date
09/02/2006
Last updated
07/08/2007
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