| Laura C Davis Dds | |
|
4132 Atlanta Hwy Suite 202 Loganville GA 30052-4930 | |
| (678) 475-7817 | |
| (678) 475-7607 |
| Full Name | Laura C Davis Dds |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4132 Atlanta Hwy, Loganville, Georgia |
| Authorized Official Name and Position | Laura C Davis (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 7704715255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura C Davis Dds 4132 Atlanta Hwy Suite 202 Loganville GA 30052-4930 Ph: (678) 475-7817 | Laura C Davis Dds 4132 Atlanta Hwy Suite 202 Loganville GA 30052-4930 Ph: (678) 475-7817 |
| NPI Number | 1063566008 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063566008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN011238 (Georgia) | Primary |
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