Individual
DR. JENNAFER KEDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1855
Mailing address
1297 W PINE AVE APT D104, MERIDIAN, ID 83642-1928
(208) 819-2409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5053
ID
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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