Individual
DR. MICHAEL LARRY DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
516 N ROLLING RD, SUITE 207, BALTIMORE, MD 21228-4140
(410) 747-8029
(410) 747-5140
Mailing address
516 N ROLLING RD, SUITE 207, BALTIMORE, MD 21228-4140
(410) 747-8029
(410) 747-5140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06995
MD
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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