Individual
KENNETH G. SHERMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1228 N COLE RD, BOISE, ID 83704-8646
(208) 375-9480
(208) 375-6804
Mailing address
1228 N COLE RD, BOISE, ID 83704-8646
(208) 375-9480
(208) 375-6804
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D1688-PE
ID
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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