Individual
DR. JOHN GILMORE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3141 CAPITAL BLVD, RALEIGH, NC 27604-3388
(919) 876-5236
Mailing address
3141 CAPITAL BLVD, RALEIGH, NC 27604-3378
(919) 876-5236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5209
NC
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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