Individual
DR. BRUCE K. DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
273 POST RD W, SUITE 1, WESTPORT, CT 06880-4702
(203) 226-7788
Mailing address
273 POST RD W, SUITE 1, WESTPORT, CT 06880-4702
(203) 226-7788
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4935
CT
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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