ELIZABETH CORENE DAVENPORT

PAGOSA SPRINGS, CO
NPI1992307995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: CO  DH.000906617)
Enumeration Date2020-11-13
Last Update Date2022-05-11
Business Address
ELIZABETH CORENE DAVENPORT RDH
190 TALISMAN DR UNIT D4
PAGOSA SPRINGS, CO 81147-9171
Phone number: 970-585-4424
Mailing Address
ELIZABETH CORENE DAVENPORT RDH
190 TALISMAN DR UNIT D4
PAGOSA SPRINGS, CO 81147-9171
Phone number: 970-585-4424