Individual
DR. KIP T KATSEANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MSD
Contact information
Practice address
6019 N EAGLE RD, BOISE, ID 83713
(208) 377-2777
(208) 377-3075
Mailing address
6019 N EAGLE RD, BOISE, ID 83713
(208) 377-2777
(208) 377-3075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5185PE
ID
Other
Enumeration date
06/25/2015
Last updated
09/15/2020
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