NPI 1720124324

Bonnie Jean Devall, LICENSEDDENTURIST

Practitioner Denturist Twin Falls, ID

Practice location

Address: 507 Main Ave W Suite B, Twin Falls, ID 83301
Phone: (208) 733-2374
Mailing address: 507 Main Ave W Suite B Main West Denture Clinic, Twin Falls, ID 83301

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence LD18 (ID)

Other Denturist providers in Idaho →

Registry record

NPI: 1720124324
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.