Kevin Mudrow, D.D.S
NPI 1114126992 · on the registry since 2007
Practice
- Address
- 333 S Woodruff Ave
Suite F
Idaho Falls, ID 83401 - Phone
- (208) 524-2030
- Organisation at this address
- Wellberry Pllc
Owen Dental, Pc
Kevin Mudrow Dds Pllc
Wight Chiropractic, Pa
Scott M. Blake, Dds, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho