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Organization
DAVENPORT FAMILY DENTISTRY, LLC
Active
Organization
DAVENPORT FAMILY DENTISTRY, LLC
Active
Other names
Covington Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FRANKLIN DAVENPORT DDS (OWNER)
(985) 892-2273
Entity
Organization
Contact information
Practice address
604 S TYLER ST, COVINGTON, LA 70433-3346
(985) 892-2273
(985) 892-2579
Mailing address
604 S TYLER ST, COVINGTON, LA 70433-3346
(985) 892-2273
(985) 892-2579
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5713
LA
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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