KEVIN CHARLES HENRY

BOISE, ID
NPI1578694170
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D3597)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
KEVIN CHARLES HENRY D.D.S.
7800 USTICK
BOISE, ID 83704-5848
Phone number: 208-375-0572
Mailing Address
KEVIN CHARLES HENRY D.D.S.
7800 USTICK RD
BOISE, ID 83704-5848
Phone number: 208-375-0572
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