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NPI Profile for BONNIE J DEVALL in TWIN FALLS, ID.
A dental technician specializing in making and fitting dentures as a direct service to the public rather than through a licensed dentist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Denturist |
122400000X |
| NPI # | 1720124324 |
|
| Status | Active | |
| Credentials | LICENSED DENTURIST | |
| Entity | Individual | |
| Enumeration date | 01/30/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BONNIE J DEVALL
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BONNIE J DEVALL, LICENSED DENTURIST