Individual
DR. GINA RENEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
10320 MALLARD CREEK RD, SUITE 160, CHARLOTTE, NC 28262-9756
(704) 547-8734
(704) 547-9605
Mailing address
10320 MALLARD CREEK RD, SUITE 160, CHARLOTTE, NC 28262-9756
(704) 547-8734
(704) 547-9605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6813
NC
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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