KENNETH CHARLES PRINCE

COUNCIL, ID
NPI1114967098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D4335)
Enumeration Date2006-06-07
Last Update Date2012-09-13
Business Address
Dr. KENNETH CHARLES PRINCE DDS
205 N BERKLEY AVE
COUNCIL, ID 83612
Phone number: 208-253-4242
Mailing Address
Dr. KENNETH CHARLES PRINCE DDS
PO BOX 428
COUNCIL, ID 83612-0428
Phone number: 208-253-4242
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