DR. Kirk D Davidson, DMD

NPI #1538347513 in Ponderay, Idaho

Provider Information

NPI Number: 1538347513
Entity Type: Individual
Name: DR. Kirk D Davidson, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Feb 1, 2008
Last Updated: Feb 1, 2008

Practice Location

Address: 476653 HIGHWAY 95
Address 2: SUITE 1
City: Ponderay
State: Idaho
ZIP Code: 83852-9816
Phone: (208) 265-6771

Specialties & Taxonomy Codes

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

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Organizations

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