Provider Demographics
NPI:1043214729
Name:DAVIS, RONADA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONADA
Middle Name:R
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:STE 2103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2722
Mailing Address - Country:US
Mailing Address - Phone:713-797-0846
Mailing Address - Fax:713-797-1314
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:STE 2103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2722
Practice Address - Country:US
Practice Address - Phone:713-797-0846
Practice Address - Fax:713-797-1314
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX132451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice