NPI 1275087264

Lisa Davis, RDH

Practitioner Dental Hygienist Wilmington, DE

Practice location

Address: 5901 Stone Pine Rd, Wilmington, DE 19808-1015
Phone: (302) 893-4448

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence G2-0002498 (DE)

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Registry record

NPI: 1275087264
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2016
Record last updated: 8 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.