Individual
DR. KIRK MICHAEL DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
509 W HANLEY AVE, STE. 201, COEUR D ALENE, ID 83815-8994
(208) 667-5447
Mailing address
509 W HANLEY AVE, STE. 201, COEUR D ALENE, ID 83815-8994
(208) 667-5447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4322
ID
Other
Enumeration date
02/21/2011
Last updated
02/21/2011
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