DR. Grant A Davidson

NPI #1164805511 in Fayetteville, Arkansas

Provider Information

NPI Number: 1164805511
Entity Type: Individual
Name: DR. Grant A Davidson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 2, 2015
Last Updated: Jul 2, 2015

Practice Location

Address: 1874 N HUNTERS RDG
Address 2: SUITE 1
City: Fayetteville
State: Arkansas
ZIP Code: 72701-2774
Phone: (479) 442-5092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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