Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BO M DAVIDSON, D.D.S., M.S.
Active Sole ProprietorDR. BO M DAVIDSON, D.D.S., M.S. is a Pediatric Dentistry healthcare provider located in LACEY, Washington. NPI 1487827275 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · LACEY, WA
Registration Details
- NPI Number
- 1487827275
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2008 (18.305369394364 yrs)
- Last Updated
- Jul 3, 2018
- License
-
DE60112868 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8685 MARTIN WAY E STE 101LACEY, WA, 98516Browse WA providers · Browse ZIP 98516
- Phone
- 3604891406
- Fax
- 3604911270
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.