| Davenport Dental Hygiene | |
|
450 Lewis St # 3d Pagosa Springs CO 81147-7508 | |
| (970) 585-4424 | |
| Not Available |
| Full Name | Davenport Dental Hygiene |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 450 Lewis St # 3d, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Elizabeth Corene Davenport (DENTAL HYGIENIST) |
| Authorized Official Contact | 9705854424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davenport Dental Hygiene Po Box 5803 Pagosa Springs CO 81147-5803 Ph: (970) 585-4424 | Davenport Dental Hygiene 450 Lewis St # 3d Pagosa Springs CO 81147-7508 Ph: (970) 585-4424 |
| NPI Number | 1629671425 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629671425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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