BO M DAVIDSON

LACEY, WA
NPI1487827275
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: WA  DE60112868)
Enumeration Date2008-04-11
Last Update Date2018-07-03
Business Address
Dr. BO M DAVIDSON D.D.S., M.S.
8685 MARTIN WAY E STE 101
LACEY, WA 98516
Phone number: 360-489-1406
Mailing Address
Dr. BO M DAVIDSON D.D.S., M.S.
8685 MARTIN WAY SE STE 101
LACEY, WA 98516
Phone number: 360-489-1406