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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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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