Individual
KENNETH JAMES LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1002 N SPOKANE STREET, POST FALLS, ID 83854
(208) 773-4579
(208) 773-0286
Mailing address
7871 COLFAX, DALTON GARDENS, ID 83815-9566
(208) 772-3453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3037
ID
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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