KENNETH E RICHARDSON

BOISE, ID
NPI1053407585
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D1383)
Enumeration Date2006-10-04
Last Update Date2007-07-09
Business Address
DR. KENNETH E RICHARDSON D.D.S.
2720 OVERLAND ROAD
BOISE, ID 83705
Phone number: 208-345-5875
Mailing Address
DR. KENNETH E RICHARDSON D.D.S.
2720 OVERLAND ROAD
BOISE, ID 83705
Phone number: 208-345-5875
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