Individual
DR. DEVIN DANIEL ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1090 W PARK PL STE B, COEUR D ALENE, ID 83814-2785
(082) 920-6972
(208) 292-0357
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5105
ID
Other
Enumeration date
07/06/2019
Last updated
07/29/2020
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