Individual
REBECCA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3718H-3718 GRUBER RD, FORT BRAGG, NC 28310-0001
(910) 396-7017
Mailing address
3718H-3718 GRUBER RD, FORT BRAGG, NC 28310-0001
(910) 396-7017
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10757
NC
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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