Organization
DAVIDSON FAMILY DENTAL/RAWLINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER WAYNE DAVIDSON D.D.S. (DENTIST)
(307) 324-3839
Entity
Organization
Contact information
Practice address
1101 W SPRUCE ST, RAWLINS, WY 82301-5211
(307) 324-3839
Mailing address
1101 W. SPRUCE ST., RAWLINS, WY 82301
(307) 324-3839
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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