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Organization
HAMMOND DENTAL CARE, LLC
Active
Organization
HAMMOND DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID F DAVENPORT DDS (OWNER/DENTIST)
(985) 662-5522
Entity
Organization
Contact information
Practice address
1109 CM FAGAN DR, SUITE P, HAMMOND, LA 70403-5973
(985) 662-5522
(985) 662-5524
Mailing address
1109 CM FAGAN DR, SUITE P, HAMMOND, LA 70403
(985) 662-5522
(985) 662-5524
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5713
LA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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