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1083745681
KRISTIN L FENWICK
BOISE, ID
NPI
1083745681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID d3159)
Enumeration Date
2007-03-08
Last Update Date
2015-11-16
Business Address
-- KRISTIN L FENWICK DDS
6657 N GLENWOOD ST WATER'S EDGE DENTAL
BOISE, ID 83714
Phone number: 208-375-0572
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Mailing Address
-- KRISTIN L FENWICK DDS
6657 N GLENWOOD ST
BOISE, ID 83714
Phone number:
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