Individual
DR. MICHAEL DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
148 CENTRAL AVE FL 1, MONTCLAIR, NJ 07042-3025
(973) 744-9330
Mailing address
148 CENTRAL AVE FL 1, MONTCLAIR, NJ 07042-3025
(973) 744-9330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02621700
NJ
Other
Enumeration date
04/03/2015
Last updated
02/05/2022
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