Organization
DAVENPORT PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA JONES DOUGLAS DMD (MEMBER)
(863) 866-0014
Entity
Organization
Contact information
Practice address
2592 JACKS RD, DAVENPORT, FL 33897-8007
(863) 866-0014
Mailing address
2592 JACKS RD, DAVENPORT, FL 33897-8007
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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