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Individual

DR. DONALD W. DAVISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
50 TOM MILLER RD, PLATTSBURGH, NY 12901-1252
(518) 561-6123
Mailing address
50 TOM MILLER RD, PLATTSBURGH, NY 12901-1252
(518) 561-6123

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038172
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00993128
NY
Enumeration date
02/04/2006
Last updated
07/09/2007
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