Individual
DR. KENT B. SIMMONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3326 4TH ST, LEWISTON, ID 83501-4455
(208) 746-3694
(208) 746-3694
Mailing address
3326 4TH ST, LEWISTON, ID 83501-4455
(208) 746-3694
(208) 746-3694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3884
ID
Other
Enumeration date
09/07/2005
Last updated
07/08/2007
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