Individual
DR. PHILIP A. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
424 DECATUR ST SE, ATLANTA, GA 30312
(678) 843-8500
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013499
GA
Other
Enumeration date
07/05/2007
Last updated
05/20/2019
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