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Individual

DR. SALLY R DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1510 LIBERTY RD, ELDERSBURG, MD 21784-6511
(410) 795-2424
Mailing address
1510 LIBERTY RD, ELDERSBURG, MD 21784-6511
(410) 795-2424

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9928
MD

Other

Enumeration date
08/26/2009
Last updated
08/26/2009
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