Individual
ELIZABETH CORENE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
190 TALISMAN DR UNIT D4, PAGOSA SPRINGS, CO 81147-9171
(970) 585-4424
Mailing address
190 TALISMAN DR UNIT D4, PAGOSA SPRINGS, CO 81147-9171
(970) 585-4424
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.000906617
CO
Other
Enumeration date
11/13/2020
Last updated
05/11/2022
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