Individual
DR. ISAAC E. DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1226 S WASHINGTON ST, DU QUOIN, IL 62832-3853
(618) 542-8832
(618) 542-9255
Mailing address
1226 S WASHINGTON ST, PO BOX 330, DU QUOIN, IL 62832-3853
(618) 542-8832
(618) 542-9255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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