Individual
DR. DERON MICHAEL DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2300 N CRAYCROFT RD, SUITE #3, TUCSON, AZ 85712-2808
(520) 886-2546
(520) 290-9410
Mailing address
2300 N CRAYCROFT RD, SUITE #3, TUCSON, AZ 85712-2808
(520) 886-2546
(520) 290-9410
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5426
AZ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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