Daniel B. Davidson

NPI 1194136150 - Dentist - 1223G0001X

NPI Details
NPI 1194136150
Enumeration Date 05/13/2014
Last Updated 05/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DANIEL B. DANIEL
Position OLWNER
Phone (208) 667-5447
Fax (208) 666-8918
Practice Location
509 W HANLEY AVE
SUITE 201
COEUR D ALENE ID, 83815-8994, US
Phone (208) 667-5447
Fax (208) 666-8918
Business Location
509 W HANLEY AVE
SUITE 201
COEUR D ALENE ID, 83815-8994, US
Phone (208) 667-5447
Fax (208) 666-8918
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D1813
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According to our database, Daniel B. Davidson NPI is 1194136150, taxonomy code is 1223G0001X and license number is D1813, license state is located at Idaho. Daniel B. Davidson physically located at 509 W Hanley Ave, Coeur D Alene ID, 83815-8994. NPI Number 1033115704 has the healthcare provider type.

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1194136150 NPI number is provided on an as is basis without warranty of any kind. 1194136150 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel B. Davidson are for informational purposes only.