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Kenneth Prince, DDS
NPI 1114967098 · on the registry since 2006
Practice
- Address
- 205 N Berkley Ave
Council, ID 83612 - Phone
- (208) 253-4242
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-13
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