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Individual

KIERSTIN ELIZABETH SHAHTOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1067 S WELLS ST, MERIDIAN, ID 83642-7997
(208) 895-8486
Mailing address
3090 N LOCHNESS AVE, MERIDIAN, ID 83646-6790
(406) 788-0848

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-30828
MT

Other

Enumeration date
05/27/2024
Last updated
06/03/2026
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