| Dr.v.davis,pa | |
|
2921 Emmorton Rd Abingdon MD 21009-1631 | |
| (410) 515-7525 | |
| Not Available |
| Full Name | Dr.v.davis,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2921 Emmorton Rd, Abingdon, Maryland |
| Authorized Official Name and Position | Vida Davis (CORPORATE OFFICER) |
| Authorized Official Contact | 4105157525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.v.davis,pa Po Box 439 Abingdon MD 21009-0439 Ph: (410) 515-7525 | Dr.v.davis,pa 2921 Emmorton Rd Abingdon MD 21009-1631 Ph: (410) 515-7525 |
| NPI Number | 1770645889 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770645889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 08631 (Maryland) | Primary |
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