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Organization
BRIAN DAVIDSON DDS PC
Active
Organization
BRIAN DAVIDSON DDS PC
Active
Other names
Professional Dental of Clarkston
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P. DAVIDSON DMD (PRESIDENT / DENTIST)
(248) 620-6200
Entity
Organization
Contact information
Practice address
5720 CLARKSTON ROAD, CLARKSTON, MI 48348
(248) 620-6200
(248) 620-6250
Mailing address
5720 CLARKSTON ROAD, CLARKSTON, MI 48348
(248) 620-6200
(248) 620-6250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018686
MI
122300000X
Dentist
2901019449
MI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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