Chad Stephen Devore, DDS

NPI #1568573962 in Rathdrum, Idaho

Provider Information

NPI Number: 1568573962
Entity Type: Individual
Name: Chad Stephen Devore, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 31, 2006
Last Updated: Dec 7, 2023

Practice Location

Address: 14596 HWY 41
Address 2: SUITE A
City: Rathdrum
State: Idaho
ZIP Code: 83858
Phone: (208) 687-4455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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