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Organization
RONNIE G. DAVIDSON II DMD PA
Active
Organization
RONNIE G. DAVIDSON II DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE G. DAVIDSON II II DMD (PRESIDENT)
(704) 663-1800
Entity
Organization
Contact information
Practice address
134 N. MAGNOLIA ST., MOORESVILLE, NC 28115
(704) 663-1800
(704) 662-9569
Mailing address
134 N. MAGNOLIA ST., MOORESVILLE, NC 28115
(704) 663-1800
(704) 662-9569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7363
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9024W
BCBS OF NC
NC
Enumeration date
10/29/2012
Last updated
10/29/2012
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