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1578694170
KEVIN CHARLES HENRY
BOISE, ID
NPI
1578694170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3597)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- KEVIN CHARLES HENRY D.D.S.
7800 USTICK
BOISE, ID 83704-5848
Phone number: 208-375-0572
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Mailing Address
-- KEVIN CHARLES HENRY D.D.S.
7800 USTICK RD
BOISE, ID 83704-5848
Phone number: 208-375-0572
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