# KEVIN L HAMBLIN DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760599963
- **Authorized official:** KEVIN L HAMBLIN DDS (OWNER)
- **Authorized official phone:** (208) 735-1415

## Contact information

- **Practice address:** 1415 N FILLMORE SUITE 701, TWIN FALLS, ID 83301
- **Practice address phone:** (208) 735-1415
- **Practice address fax:** (208) 734-7603
- **Mailing address:** 1415 N FILLMORE SUITE 701, TWIN FALLS, ID 83301
- **Mailing address phone:** (208) 735-1415
- **Mailing address fax:** (208) 734-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D1932 | ID | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/22/2020