KENNETH JOSEPH STUART

COEUR D ALENE, ID
NPI1447742358
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-5554)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: KY  S15-692-135)
Enumeration Date2018-06-06
Last Update Date2023-08-08
Business Address
KENNETH JOSEPH STUART DMD
2344 N MERRIT CRK LOOP
COEUR D ALENE, ID 83814-4950
Phone number: 208-512-4130
Mailing Address
KENNETH JOSEPH STUART DMD
2344 N MERRIT CRK LOOP
COEUR D ALENE, ID 83814-4950
Phone number: 208-512-4130