Organization
KENT B. SIMMONS DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT B. SIMMONS D.D.S (DENTIST)
(208) 746-3694
Entity
Organization
Contact information
Practice address
3318 4TH ST, LEWISTON, ID 83501-4405
(208) 746-3694
(208) 743-8313
Mailing address
3318 4TH ST, LEWISTON, ID 83501-4405
(208) 746-3694
(208) 743-8313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3884
ID
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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