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:
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