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Individual

DEVAN MICHAEL MUNK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3003 W MAIN ST STE 130, BOISE, ID 83702-2026
(208) 342-7610
Mailing address
3003 W MAIN ST STE 130, BOISE, ID 83702-2026
(208) 342-7610

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5596
ID
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D5596
ID

Other

Enumeration date
03/24/2020
Last updated
10/14/2025
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