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Individual

KIM S DAVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1300 N OAKLAND AVE, STE C, BOLIVAR, MO 65613
(417) 326-2244
(417) 326-8013
Mailing address
1300 N OAKLAND AVE, STE C, BOLIVAR, MO 65613
(417) 326-2244
(417) 326-8013

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011222
MO

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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