Cronquist, Kelton
Cronquist, Kelton is an individual health care provider with primary practice located at 1200 W Cherry Ln , Meridian ID 83642-4930. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Cronquist, Kelton can be contacted via phone (208) 898-0000.Contact Information
Primary practice address
1200 W Cherry Ln
Meridian ID 83642-4930
Phone: (208) 898-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D-5605 | Idaho |
Profile Details
| NPI number | 1417701400 |
|---|---|
| LBN Legal business name | Cronquist, Kelton |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2024 |
| Last updated | Apr 16th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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