Organization
DAVENPORT DENTAL HYGIENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CORENE DAVENPORT RDH (DENTAL HYGIENIST)
(970) 585-4424
Entity
Organization
Contact information
Practice address
450 LEWIS ST # 3D, PAGOSA SPRINGS, CO 81147-7508
(970) 585-4424
Mailing address
PO BOX 5803, PAGOSA SPRINGS, CO 81147-5803
(970) 585-4424
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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