Organization
DAVISON ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA DAVISON DDS (OWNER/ ORTHODONTIST)
(614) 389-8346
Entity
Organization
Contact information
Practice address
395 W OLENTANGY ST, POWELL, OH 43065-8719
(614) 389-8346
(614) 389-8347
Mailing address
395 W OLENTANGY ST, POWELL, OH 43065-8719
(614) 389-8346
(614) 389-8347
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.022641
OH
Other
Enumeration date
03/01/2014
Last updated
03/01/2014
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