Individual
DR. RICHARD DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,M.S.
Contact information
Practice address
950 FRANCIS PL, SUITE 117, CLAYTON, MO 63105-2465
(314) 721-4860
(314) 721-4860
Mailing address
35 SUMMERHILL LN, CHESTERFIELD, MO 63017-8408
(314) 434-1107
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11304
MO
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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