Individual
GARY C DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 E CHESTNUT ST, COWETA, OK 74429
(918) 486-3266
(918) 486-5926
Mailing address
122 E CHESTNUT ST, COWETA, OK 74429
(918) 486-3266
(918) 486-5926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4222
OK
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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