Kim S Davison, DDS

NPI #1306044177 in Bolivar, Missouri

Provider Information

NPI Number: 1306044177
Entity Type: Individual
Name: Kim S Davison, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1300 N OAKLAND AVE
Address 2: STE C
City: Bolivar
State: Missouri
ZIP Code: 65613
Phone: (417) 326-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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