DR. Richard Wolfgang Davenport, DMD

NPI #1477624732 in Stayton, Oregon

Provider Information

NPI Number: 1477624732
Entity Type: Individual
Name: DR. Richard Wolfgang Davenport, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 10, 2006
Last Updated: Oct 12, 2015

Practice Location

Address: 521 N 1ST AVE
City: Stayton
State: Oregon
ZIP Code: 97383-1703
Phone: (888) 468-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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