| NPI | 1720447147 |
|---|---|
| Doing Business As | DAVENPORT FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MONICA ANNETTE DAVENPORT Owner/Dentist 318-226-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5001) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |