KATHERINE ANNE DIVINE

MERIDIAN, ID
NPI1487093704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4500-SS)
Enumeration Date2013-06-19
Last Update Date2013-06-19
Business Address
Dr. KATHERINE ANNE DIVINE D.D.S.
1311 E CENTRAL DR
MERIDIAN, ID 83642-7991
Phone number: 208-373-1860
Mailing Address
Dr. KATHERINE ANNE DIVINE D.D.S.
1311 E CENTRAL DR
MERIDIAN, ID 83642-7991
Phone number: 208-373-1860
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