| Dr.danny E Davidson, DDS PS | |
|
108 22nd Ave Sw #16 Olympia WA 98501-2871 | |
| (360) 943-5775 | |
| (360) 943-6349 |
| Full Name | Dr.danny E Davidson, DDS PS |
|---|---|
| Speciality | Dentist |
| Location | 108 22nd Ave Sw, Olympia, Washington |
| Authorized Official Name and Position | Danny Eugene Davidson (OWNER) |
| Authorized Official Contact | 3609435775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr.danny E Davidson, DDS PS 108 22nd Ave Sw #16 Olympia WA 98501-2871 Ph: (360) 943-5775 | Dr.danny E Davidson, DDS PS 108 22nd Ave Sw #16 Olympia WA 98501-2871 Ph: (360) 943-5775 |
| NPI Number | 1275787160 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 11/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275787160 | NPI | - | NPPES |
| 5093505 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5699 (Washington) | Primary |
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