Organization
KEISHA B DAVIS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEISHA DAVIS (PRESIDENT)
(919) 557-1871
Entity
Organization
Contact information
Practice address
500 HOLLY SPRINGS RD, STE 104, HOLLY SPRINGS, NC 27540-6204
(919) 557-1871
Mailing address
500 HOLLY SPRINGS RD, STE 104, HOLLY SPRINGS, NC 27540-6204
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6655
NC
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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