Individual
DR. ALLEN RAYMOND CHENOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 W NORTH ST, GRANGEVILLE, ID 83530
(208) 983-0105
Mailing address
PO BOX 368, GRANGEVILLE, ID 83530
(208) 983-0105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1742
ID
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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