Organization
FRERICHS AND DAVIDSON PLLC
Active
Other names
Skagit Valley Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOD DAVIDSON DDS (PARTNER)
(360) 424-3611
Entity
Organization
Contact information
Practice address
206 S 15TH ST, MOUNT VERNON, WA 98274-4507
(360) 424-3611
(360) 424-3300
Mailing address
206 S 15TH ST, MOUNT VERNON, WA 98274-4507
(360) 424-3611
(360) 424-3300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134518293
DENTAL PROVIDER
WA
01
—
1487884086
DENTAL PROVIDER
WA
Enumeration date
01/14/2020
Last updated
01/14/2020
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