Individual
DR. ELLWOOD LOUIS DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2124 4TH AVE, SEATTLE, WA 98121-2308
(206) 296-4755
(206) 296-0184
Mailing address
2414 S LANE ST, SEATTLE, WA 98144-3016
(206) 329-2968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00008809
WA
Other
Enumeration date
06/21/2008
Last updated
06/21/2008
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