Fenwick, Kristin L
Fenwick, Kristin L is an sole proprietor health care provider with primary practice located at 6657 N Glenwood St Water'S Edge Dental, Boise ID 83714. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fenwick, Kristin L can be contacted via phone (208) 375-0572.Contact Information
Primary practice address
6657 N Glenwood St Water'S Edge Dental
Boise ID 83714
Phone: (208) 375-0572
Fax: (208) 375-1658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3159 | Idaho |
Profile Details
| NPI number | 1083745681 |
|---|---|
| LBN Legal business name | Fenwick, Kristin L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Nov 16th, 2015 - about 10 years 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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