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Organization

RICHARD M. DAVIDSON, OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD MICHAEL DAVIDSON OD (OWNER)
(703) 893-6586
Entity
Organization

Contact information

Practice address
8025 TYSONS CORNER CTR, MC LEAN, VA 22102-4525
(703) 893-6586
(703) 893-9379
Mailing address
8025 TYSONS CORNER CTR, MC LEAN, VA 22102-4525
(703) 893-6586
(703) 893-9379

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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