Individual
DR. NICHOLAS DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
21080 ALLEN RD, WOODHAVEN, MI 48183-1602
(734) 676-1656
Mailing address
21080 ALLEN RD, WOODHAVEN, MI 48183-1602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020201
MI
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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