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1295844108
JUSTIN M DAVENPORT
LEAWOOD, KS
NPI
1295844108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KS 60233)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Mr. JUSTIN M DAVENPORT DDS
11225 NALL AVE SUITE 120
LEAWOOD, KS 66211
Phone number: 913-345-1962
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Mailing Address
Mr. JUSTIN M DAVENPORT DDS
11225 NALL AVE SUITE 120
LEAWOOD, KS 66211
Phone number: 913-345-1962
Copy
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