Kevin Lavar Hamblin DDS

NPI 1750589594 - Dentist - 122300000X

NPI Details
NPI 1750589594
Gender Male
Enumeration Date 07/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1415 FILLMORE ST STE 701
TWIN FALLS ID, 83301-3346, US
Phone (208) 735-1415
Fax
Business Location
736 GREEN ACRES DR
TWIN FALLS ID, 83301-3319, US
Phone (298) 734-3411
Fax
Toxanomy
Taxonomy Code 122300000X
License State Idaho
License Number D1932
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According to our database, Kevin Lavar Hamblin DDS NPI is 1750589594, taxonomy code is 122300000X and license number is D1932, license state is located at Idaho. Kevin Lavar Hamblin DDS physically located at 1415 Fillmore St Ste 701, Twin Falls ID, 83301-3346. NPI Number Kevin Lavar Hamblin DDS has the Individual type.

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1750589594 NPI number is provided on an as is basis without warranty of any kind. 1750589594 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Lavar Hamblin DDS are for informational purposes only.