Davenport Dental Hygiene
NPI #1629671425 in Pagosa Springs, Colorado
Provider Information
- NPI Number
- 1629671425
- Entity Type
- Organization
- Organization Name
- Davenport Dental Hygiene
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 16, 2020
- Last Updated
- Nov 16, 2020
Practice Location
- Address
- 450 LEWIS ST # 3D
- City
- Pagosa Springs
- State
- Colorado
- ZIP Code
- 81147-7508
- Phone
- (970) 585-4424
Authorized Official
- Name
- ELIZABETH CORENE DAVENPORT, RDH
- Title
- DENTAL HYGIENIST
- Phone
- (970) 585-4424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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