Davidson Family Dentistry, LLC

NPI #1164928388 in Urbandale, Iowa

Provider Information

NPI Number: 1164928388
Entity Type: Organization
Organization Name: Davidson Family Dentistry, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 5, 2018
Last Updated: Apr 5, 2018

Practice Location

Address: 8573 URBANDALE AVE
City: Urbandale
State: Iowa
ZIP Code: 50322-4108
Phone: (515) 279-3848

Authorized Official

Name: MRS. DIANE M DAVIDSON, JD
Title: CLINIC ADMIN.
Phone: (515) 279-3848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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