KENT J ALLEN/ SHANNON WIDMIER

KIMBERLY, ID
NPI1770769325
Entity TypeOrganization
Authorized ContactKENT J ALLEN
Owner
208-423-6444
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: CA  D1767)
Enumeration Date2008-01-14
Last Update Date2008-01-14
Business Address
KENT J ALLEN/ SHANNON WIDMIER
702 CENTER ST W
KIMBERLY, ID 83341
Phone number: 208-423-6444
Mailing Address
KENT J ALLEN/ SHANNON WIDMIER
702 CENTER STREET WEST PO BOX B
KIMBERLY, ID 83341
Phone number: 208-423-6444
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