| Alphonzo L. Davidson Sr,d.d.s.,pa | |
|
932 Largo Center Dr Largo MD 20774-3704 | |
| (301) 322-8900 | |
| (301) 322-2840 |
| Full Name | Alphonzo L. Davidson Sr,d.d.s.,pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 932 Largo Center Dr, Largo, Maryland |
| Authorized Official Name and Position | Alphonzo L Davidson (ORAL MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 3013228900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alphonzo L. Davidson Sr,d.d.s.,pa 932 Largo Center Dr Largo MD 20774-3704 Ph: (301) 322-8900 | Alphonzo L. Davidson Sr,d.d.s.,pa 932 Largo Center Dr Largo MD 20774-3704 Ph: (301) 322-8900 |
| NPI Number | 1821301599 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821301599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5342 (Maryland) | Primary |
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