Organization
PRAIRIE CIRCLE DENTAL, P.C.
Active
Other names
Dr. Richard D. Davidson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D. DAVIDSON DMD (OWNER)
(217) 253-5216
Entity
Organization
Contact information
Practice address
703 N NILES AVE, TUSCOLA, IL 61953-1059
(217) 253-5216
(217) 253-4949
Mailing address
703 N NILES AVE, TUSCOLA, IL 61953-1059
(217) 253-5216
(217) 253-4949
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
03/03/2007
Last updated
08/22/2020
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