| NPI | 1093944993 |
|---|---|
| Doing Business As | DAVIDSON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DAVIDSON Dentist 307-362-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |