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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTIN L FENWICK, DDS

Active Sole Proprietor

KRISTIN L FENWICK, DDS is a General Dentistry healthcare provider located in BOISE, Idaho. NPI 1083745681 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BOISE, ID

Registration Details

NPI Number
1083745681
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2007 (19.452091324828 yrs)
Last Updated
Nov 16, 2015
License
D3159 (ID)
Sole Proprietor
Yes

Practice Information

Address
6657 N GLENWOOD ST
WATER'S EDGE DENTAL
BOISE, ID, 83714
Browse ID providers · Browse ZIP 83714
Phone
2083750572
Fax
2083751658
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in BOISE, ID

Name Credential NPI
DR. HELEN HALLQUIST HARLESS D.D.S. 1699751560
BRANDON L TAYLOR DMD 1760451306
DR. FRANK ALAN WALKER JR. DMD 1154380277
DR. ROBERT T PECK DMD 1003874140
DR. DAVID MICHAEL MUNRO DDS 1497703771
DAVID WILLIAM CUTLER DDS 1417996596
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.