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Individual

DR. ALAN L DAVENPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
10660 W 143RD ST, SUITE E, ORLAND PARK, IL 60462-1982
(708) 460-0200
(708) 460-8301
Mailing address
10660 W 143RD ST, SUITE E, ORLAND PARK, IL 60462-1982
(708) 460-0200
(708) 460-8301

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
11/01/2006
Last updated
07/08/2007
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