KENNETH TROY STEVENS

MOUNTAIN HOME, ID
NPI1114131315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3697)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
-- KENNETH TROY STEVENS DDS
815 N 6TH E
MOUNTAIN HOME, ID 83647-2207
Phone number: 208-587-7949
Mailing Address
-- KENNETH TROY STEVENS DDS
815 N 6TH E
MOUNTAIN HOME, ID 83647-2207
Phone number: 208-587-7949
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