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Individual
DR. TOD ERIC DAVIDSON
Active
Individual
DR. TOD ERIC DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9068986-8903
UT
122300000X
Dentist
Primary
9068986-9922
UT
Other
Enumeration date
01/13/2015
Last updated
08/20/2015
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