Individual
DR. BILL P DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2743 FERDINAND, GRAND PRAIRIE, TX 76054
(817) 477-2201
Mailing address
2743 FERDINAND, GRAND PRAIRIE, TX 75054
(817) 477-2201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10503
TX
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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