Individual
DICK B DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1310 JUNCTION DR, SUITE D, LAREDO, TX 78041-6511
(956) 726-9980
Mailing address
1310 JUNCTION DR, SUITE D, LAREDO, TX 78041-6511
(956) 726-9980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13534
TX
Other
Enumeration date
09/25/2006
Last updated
03/17/2018
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