Individual
DR. CHRISTOPHER MARK DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15325 LEE HWY, BRISTOL, VA 24202-4013
(276) 466-9800
Mailing address
309 WILMER AVE, RICHMOND, VA 23227-2653
(276) 698-5519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413993
VA
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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