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Organization
STUART L DAVIDSON D D S P C
Active
Organization
STUART L DAVIDSON D D S P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART L DAVIDSON D D S (OWNER)
(586) 573-0030
Entity
Organization
Contact information
Practice address
11270 E 13 MILE RD, SUITE 3A, WARREN, MI 48093-2599
(586) 573-0030
(586) 573-0072
Mailing address
11270 E 13 MILE RD, SUITE 3A, WARREN, MI 48093-2599
(586) 573-0030
(586) 573-0072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901007790
MI
Other
Enumeration date
05/07/2008
Last updated
07/01/2008
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