Individual
COURTNEY D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
19 PROMENADE ST, UNIT 201, BLUFFTON, SC 29910-7037
(843) 707-7915
Mailing address
19 PROMENADE STREET, UNIT 201, BLUFFTON, SC 29910-7839
(843) 707-7915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4003
WV
1223P0221X
Pediatric Dentistry
Primary
8543
SC
Other
Enumeration date
07/06/2012
Last updated
05/09/2017
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