KRISTIN L FENWICK

BOISE, ID
NPI1083745681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D3159)
Enumeration Date2007-03-08
Last Update Date2015-11-16
Business Address
KRISTIN L FENWICK DDS
6657 N GLENWOOD ST WATER'S EDGE DENTAL
BOISE, ID 83714
Phone number: 208-375-0572
Mailing Address
KRISTIN L FENWICK DDS
6657 N GLENWOOD ST
BOISE, ID 83714
Phone number: