Individual
DR. MILTON LEE DAVENPORT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1960 N LINCOLN PARK W, CHICAGO, IL 60614-5487
(773) 327-3131
(773) 327-3208
Mailing address
1960 N LINCOLN PARK W, CHICAGO, IL 60614-5487
(773) 327-3131
(773) 327-3208
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
21002223
IL
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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