Organization
DOCTORS DENTAL 05, LLC
Active
Other names
Doctors Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID FRANKLIN DAVENPORT D.D.S. (OWNER)
(985) 768-4520
Entity
Organization
Contact information
Practice address
7278 HIGHLAND RD, SUITE C, BATON ROUGE, LA 70808-6607
(225) 329-1140
(225) 329-1150
Mailing address
601 RIVER HIGHLAND BLVD, SUITE 200, COVINGTON, LA 70433-8987
(985) 768-4520
(985) 310-7414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5713
LA
Other
Enumeration date
07/16/2013
Last updated
10/10/2013
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