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DR. MARIE KATHERINE DEVORE DMD
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1225237712
Individual Registrant:DR. MARIE KATHERINE DEVORE DMD
Gender: F
Not Sole Proprietor
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
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
Tel: 845-557-8500 Fax: 845-557-3306
Registration Information:
NPI: 1225237712
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 122300000X | Dental Providers Dentist | PA | DS028077L |
| Y | 122300000X | Dental Providers Dentist | NY | 0410791 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
