KENNETH G BARANCO

BOISE, ID
NPI1801808514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D1548)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
-- KENNETH G BARANCO D.D.S.
314 W BANNOCK ST
BOISE, ID 83702-6032
Phone number: 208-336-9333
Mailing Address
-- KENNETH G BARANCO D.D.S.
314 W BANNOCK ST
BOISE, ID 83702-6032
Phone number: 208-336-9333