Daniel B. Davidson | |
509 W Hanley Ave Suite 201 Coeur D Alene ID 83815-8994 | |
(208) 667-5447 | |
(208) 666-8918 |
Full Name | Daniel B. Davidson |
---|---|
Speciality | Dentist - General Practice |
Location | 509 W Hanley Ave, Coeur D Alene, Idaho |
Authorized Official Name and Position | Daniel B. Davidson (OLWNER) |
Authorized Official Contact | 2086675447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Daniel B. Davidson 509 W Hanley Ave Suite 201 Coeur D Alene ID 83815-8994 Ph: (208) 667-5447 | Daniel B. Davidson 509 W Hanley Ave Suite 201 Coeur D Alene ID 83815-8994 Ph: (208) 667-5447 |
NPI Number | 1194136150 |
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Provider Enumeration Date | 05/13/2014 |
Last Update Date | 05/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194136150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D1813 (Idaho) | Primary |
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