Individual
DR. RUSTY KIP DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 S MAGNOLIA AVE, WAYNESBORO, VA 22980-3648
(540) 943-2723
(540) 943-1419
Mailing address
400 S MAGNOLIA AVE, WAYNESBORO, VA 22980-3648
(540) 943-2723
(540) 943-1419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411820
VA
1223G0001X
General Practice Dentistry
9535
CO
Other
Enumeration date
11/15/2007
Last updated
10/24/2008
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