| Stuart L Davidson D D S P C | |
|
11270 E 13 Mile Rd Suite 3a Warren MI 48093-2599 | |
| (586) 573-0030 | |
| (586) 573-0072 |
| Full Name | Stuart L Davidson D D S P C |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11270 E 13 Mile Rd, Warren, Michigan |
| Authorized Official Name and Position | Stuart L Davidson (OWNER) |
| Authorized Official Contact | 5865730030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart L Davidson D D S P C 11270 E 13 Mile Rd Suite 3a Warren MI 48093-2599 Ph: (586) 573-0030 | Stuart L Davidson D D S P C 11270 E 13 Mile Rd Suite 3a Warren MI 48093-2599 Ph: (586) 573-0030 |
| NPI Number | 1568638609 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568638609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901007790 (Michigan) | Primary |
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