Individual
DEVIN TAYLOR NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3299 E 17TH ST, AMMON, ID 83406-6718
(208) 529-3007
Mailing address
1764 SPARROW HILL CT APT 1307, IDAHO FALLS, ID 83404-4837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5533
ID
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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