Individual
DR. RICHARD WOLFGANG DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
521 N 1ST AVE, STAYTON, OR 97383-1703
(888) 468-0022
(541) 504-3907
Mailing address
442 SW UMATILLA AVE, SUITE 200, REDMOND, OR 97756-7039
(888) 480-4478
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6387
OR
Other
Enumeration date
11/10/2006
Last updated
10/12/2015
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