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DR. MARIE KATHERINE DEVORE DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1225237712

Individual Registrant:
DR. MARIE KATHERINE DEVORE DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3411 S R 97  BARRYVILLE, NY 12719 US
Tel: 845-557-8500  Fax: 845-557-3306

Contact information for business:
PO BOX 220  BARRYVILLE, NY 12719 US
Tel: 845-557-8500  Fax: 845-557-3306

Registration Information:
NPI: 1225237712
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
PADS028077L
Y122300000XDental Providers
Dentist
NY0410791

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NY - Page 1



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