SHANE DAVIDSON DDS PC

WATERFORD, MI
NPI1033651427
Entity TypeOrganization
Authorized ContactSHANE DAVIDSON
Owner
248-977-3006
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MI  2901020222)
Enumeration Date2016-11-16
Last Update Date2016-11-16
Business Address
SHANE DAVIDSON DDS PC
5574 COOLEY LAKE RD
WATERFORD, MI 48327-3015
Phone number: 248-977-3006
Mailing Address
SHANE DAVIDSON DDS PC
5574 COOLEY LAKE RD
WATERFORD, MI 48327-3015
Phone number: 248-977-3006
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