Individual
DR. KEVIN TURNER STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2200 PARK AVE, SUITE 2, BURLEY, ID 83318-2186
(208) 678-8188
(208) 678-3170
Mailing address
2200 PARK AVE, SUITE 2, BURLEY, ID 83318-2186
(208) 678-8188
(208) 678-3170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1986
ID
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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