Individual
DAWSON DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
37668 FORD RD, WESTLAND, MI 48185-1924
(734) 729-2366
Mailing address
33911 PONDVIEW CIR, LIVONIA, MI 48152-1474
(734) 679-3949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600172
MI
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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