Individual
DR. RICKY LAWRENCE DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7520 MONTGOMERY BLVD NE, SUITE E-4, ALBUQUERQUE, NM 87109-1521
(505) 883-6111
(505) 883-6101
Mailing address
7520 MONTGOMERY BLVD NE, SUITE E-4, ALBUQUERQUE, NM 87109-1521
(505) 883-6111
(505) 883-6101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1114
NM
Other
Enumeration date
08/12/2006
Last updated
07/10/2009
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