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1154315950
KENT B. SIMMONS
LEWISTON, ID
NPI
1154315950
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D-3884)
Enumeration Date
2005-09-07
Last Update Date
2007-07-08
Business Address
DR. KENT B. SIMMONS D.D.S.
3326 4TH ST
LEWISTON, ID 83501-4455
Phone number: 208-746-3694
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Mailing Address
DR. KENT B. SIMMONS D.D.S.
3326 4TH ST
LEWISTON, ID 83501-4455
Phone number: 208-746-3694
Copy
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