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Organization

DAVIDSON DENTAL ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDA L DAVIDSON DDS (OWNER PRESIDENT)
(202) 775-0022
Entity
Organization

Contact information

Practice address
1990 K ST NW, SUITE 15B, WASHINGTON, DC 20006-1103
(202) 775-0022
Mailing address
1990 K ST NW, SUITE 15B, WASHINGTON, DC 20006-1103
(202) 775-0022

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DEN1000390
DC
122300000X
Dentist
DEN1001366
DC
122300000X
Dentist
DEN1001472
DC
1223E0200X
Endodontics
1001379
DC
1223E0200X
Endodontics
DEN1001379
DC
1223G0001X
General Practice Dentistry
DEN4780
DC
1223P0300X
Periodontics
DEN2366
DC
1223P0300X
Periodontics
DEN5224
DC
1223P0700X
Prosthodontics
Primary
DEN1000212
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1000967
DC

Other

Enumeration date
03/20/2007
Last updated
05/27/2015
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