Individual
KENT CHARLES MCVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1322 W KATHLEEN AVE, COEUR D ALENE, ID 83815-7365
(208) 667-7461
(208) 765-5753
Mailing address
1322 W KATHLEEN AVE, COEUR D ALENE, ID 83815-7365
(208) 667-7461
(208) 765-5753
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4126
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025332
—
ID
Enumeration date
07/11/2008
Last updated
07/11/2008
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