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Mrs. Bonnie Jean Devall, LICENSEDDENTURIST
Denturist in Twin Falls, Idaho
NPI 1720124324

Bonnie Jean Devall is a Denturist based in Twin Falls, ID. Bonnie Jean Devall practices in Twin Falls, ID and has the professional credentials of LICENSEDDENTURIST. The NPI Number for Bonnie Jean Devall is 1720124324 and holds a License No. LD18 (Idaho).

The current practice location address for Bonnie Jean Devall is 507 Main Ave W, Twin Falls, ID and can be reached out via phone at 208-733-2374. You can also correspond with Bonnie Jean Devall through the mailing address at 507 MAIN AVE W SUITE B, TWIN FALLS, ID - 83301 (mailing address contact number: 208-733-2374).

Location: 507 Main Ave W, Twin Falls, ID, 83301
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Provider Profile Details
NPI Number
1720124324
Provider Name
Bonnie Jean Devall
Credential
LICENSEDDENTURIST
Provider Entity Type
Individual
Gender
Female
Address
507 Main Ave W, Twin Falls, ID, 83301
Phone Number
208-733-2374
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001191300 05 ID
institution
Provider Business Practice Location Address Details
Address
507 Main Ave W
City
State
Zip
83301
Phone Number
208-733-2374
Fax Number
person
Provider Business Mailing Address Details
Address
507 Main Ave W
City
State
Zip
83301
Phone Number
208-733-2374
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
LD18 (Idaho)
Definition
Definition to come.
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