Individual
SAMUEL DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
337 GREYBULL AVE, GREYBULL, WY 82426-2049
(307) 765-4654
(307) 333-0494
Mailing address
337 GREYBULL AVE, GREYBULL, WY 82426-2049
(307) 765-4654
(307) 333-0494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1587
WY
Other
Enumeration date
06/11/2021
Last updated
09/01/2023
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