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Dr. Bo M Davidson, DDS,MS
Pediatric Dentist in Lacey, Washington
NPI 1487827275

Bo M Davidson is a Pediatric Dentist based in Lacey, WA and is specialized in Pediatric Dentistry. Bo M Davidson practices in Lacey, WA and has the professional credentials of DDS,MS. The NPI Number for Bo M Davidson is 1487827275 and holds a License No. DE60112868 (Washington).

The current practice location address for Bo M Davidson is 8685 Martin Way E Ste 101, Lacey, WA and can be reached out via phone at 360-489-1406 and via fax at 360-491-1270. You can also correspond with Bo M Davidson through the mailing address at 8685 MARTIN WAY SE STE 101, LACEY, WA - 98516 (mailing address contact number: 360-489-1406).

Location: 8685 Martin Way E Ste 101, Lacey, WA, 98516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487827275
Provider Name
Bo M Davidson
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
8685 Martin Way E Ste 101, Lacey, WA, 98516
Phone Number
360-489-1406
Fax Number
360-491-1270
Provider Enumeration Date
04/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8685 Martin Way E Ste 101
City
Lacey
State
Washington
Zip
98516
Phone Number
360-489-1406
Fax Number
360-491-1270
person
Provider Business Mailing Address Details
Address
8685 Martin Way Se Ste 101
City
Lacey
State
Washington
Zip
98516
Phone Number
360-489-1406
Fax Number
360-491-1270
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DE60112868 (Washington)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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