Organization
ALPHONZO L. DAVIDSON SR,D.D.S.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALPHONZO L DAVIDSON SR. DDS,PA (ORAL MAXILLOFACIAL SURGEON)
(301) 322-8900
Entity
Organization
Contact information
Practice address
932 LARGO CENTER DR, LARGO, MD 20774-3704
(301) 322-8900
(301) 322-2840
Mailing address
932 LARGO CENTER DR, LARGO, MD 20774-3704
(301) 322-8900
(301) 322-2840
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5342
MD
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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