Individual
TERRY L. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
120 W 6TH ST, NEWTON, KS 67114-2155
(316) 283-0110
(316) 283-0736
Mailing address
120 W 6TH ST, NEWTON, KS 67114-2155
(316) 283-0110
(316) 283-0736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5635
KS
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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