Individual
DR. DAVID WALLACE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
11160 VEIRS MILL RD SPC G1, WHEATON, MD 20902-2542
(301) 949-3960
(301) 949-2429
Mailing address
11160 VEIRS MILL RD SPC G1, WHEATON, MD 20902-2542
(301) 949-3960
(301) 949-2429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1933
MD
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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