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Dr. Tod Eric Davidson, DDS

Dentist in Eglin Afb, FL. Individual provider (NPI-1).

NPI number1134518293
StatusActive
Last updated in NPPESAug 20, 2015

Details

NPI
1134518293
Entity type
Individual (NPI-1)
Name
Dr. Tod Eric Davidson
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Jan 13, 2015
Last updated
Aug 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist9068986-9922UTYes
122300000X Dentist9068986-8903UT

Practice location

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

Phone 850-883-8324

Mailing address

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

Phone 850-883-8324

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