Individual
CHAD STEPHEN DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14596 HWY 41, SUITE A, RATHDRUM, ID 83858
(208) 687-4455
(208) 687-4456
Mailing address
PO BOX 1030, RATHDRUM, ID 83858
(208) 687-4455
(208) 687-4456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03259
ID
Other
Enumeration date
08/31/2006
Last updated
12/07/2023
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