Individual
ANDREW DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4491 RICE ST, LIHUE, HI 96766-1343
(808) 240-0119
Mailing address
4491 RICE ST, LIHUE, HI 96766-1343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CSDT-117-0
HI
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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