Individual
DR. DEVIN REX THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2300 E 17TH ST, IDAHO FALLS, ID 83404-6504
(208) 525-8383
Mailing address
2300 E 17TH ST, IDAHO FALLS, ID 83404-6504
(208) 525-8383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4492
IL
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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