RICHARD WOLFGANG DAVENPORT

STAYTON, OR
NPI1477624732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D6387)
Enumeration Date2006-11-10
Last Update Date2015-10-12
Business Address
Dr. RICHARD WOLFGANG DAVENPORT DMD
521 N 1ST AVE
STAYTON, OR 97383-1703
Phone number: 888-468-0022
Mailing Address
Dr. RICHARD WOLFGANG DAVENPORT DMD
442 SW UMATILLA AVE SUITE 200
REDMOND, OR 97756-7039
Phone number: 888-480-4478