Individual
DR. DANIELLE LYNAE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7950 N SHADELAND AVE, #400, INDIANAPOLIS, IN 46250-2691
(317) 849-9961
(317) 577-9128
Mailing address
7950 N SHADELAND AVE, #400, INDIANAPOLIS, IN 46250-2691
(317) 849-9961
(317) 577-9128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010695A
IN
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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