Organization
BRIAN DAVIDSON DDS PC
Active
Other names
Professional Dental of Clarkston
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P. DAVIDSON DMD (PRESIDENT / DENTIST)
(248) 620-6200
Entity
Organization
Contact information
Practice address
5720 CLARKSTON ROAD, CLARKSTON, MI 48348
(248) 620-6200
(248) 620-6250
Mailing address
5720 CLARKSTON ROAD, CLARKSTON, MI 48348
(248) 620-6200
(248) 620-6250
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018686
MI
122300000X
Dentist
2901019449
MI
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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