Individual provider · Type 1 NPI
Bonnie Jean Devall, LICENSED DENTURIST
Denturist · Twin Falls, ID
NPI number
1720124324
Active
Practice location
507 Main Ave W, Suite B
Twin Falls, ID 83301
Mailing address
507 Main Ave W Suite B, Main West Denture Clinic
Twin Falls, ID 83301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Denturist Primary | 122400000X | LD18 (ID) |
Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
Other denturist providers in Twin Falls
About NPI 1720124324
Bonnie Jean Devall, LICENSED DENTURIST's National Provider Identifier is 1720124324, issued on Jan 30, 2007. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Twin Falls, ID. The record was last updated on Jul 8, 2007.