Daniella Davis

NPI #1508471665 in Lake Ronkonkoma, New York

Provider Information

NPI Number: 1508471665
Entity Type: Individual
Name: Daniella Davis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Sep 14, 2020
Last Updated: Sep 14, 2020

Practice Location

Address: 500 PORTION RD STE 15
City: Lake Ronkonkoma
State: New York
ZIP Code: 11779-4587
Phone: (631) 588-1199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

Provider Name	Specialty	City
Island Orthodontic,pllc	Dentist - Orthodontics and Dentofacial Orthopedics	Lake Ronkonkoma	AI Deep Dive

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