Organization
DR.DANNY E DAVIDSON, DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNY EUGENE DAVIDSON DDS (OWNER)
(360) 943-5775
Entity
Organization
Contact information
Practice address
108 22ND AVE SW, #16, OLYMPIA, WA 98501-2871
(360) 943-5775
(360) 943-6349
Mailing address
108 22ND AVE SW, #16, OLYMPIA, WA 98501-2871
(360) 943-5775
(360) 943-6349
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5699
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5093505
—
WA
Enumeration date
11/05/2008
Last updated
11/05/2008
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