Individual
DANIEL B DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
509 W HANLEY AVENUE, SUITE 201, COEURDALENE, ID 83815-8994
(208) 667-5447
(208) 666-8918
Mailing address
509 W HANLEY AVENUE, SUITE 201, COEURDALENE, ID 83815-8994
(208) 667-5447
(208) 666-8918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1813
ID
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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