| NPI | 1407243173 |
|---|---|
| Doing Business As | MARKHAM STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES M DAVENPORT Dentist/Owner 501-666-7623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3842) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |