DR. Loretta Davis

NPI #1144391855 in Elgin, Illinois

Provider Information

NPI Number: 1144391855
Entity Type: Individual
Name: DR. Loretta Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 13, 2006
Last Updated: Nov 21, 2023

Practice Location

Address: 1190 S RANDALL RD STE 102
City: Elgin
State: Illinois
ZIP Code: 60123-4110
Phone: (477) 170-4148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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