| NPI | 1073381521 |
|---|---|
| Doing Business As | DENTISTS OF DAVENPORT |
| Entity Type | Organization |
| Authorized Contact | OMEIR TARIQ ANSARI Owner 863-812-4570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |