MISS Kyrsten M Wooldridge, LD

NPI #1063064053 in Twin Falls, Idaho

Provider Information

NPI Number: 1063064053
Entity Type: Individual
Name: MISS Kyrsten M Wooldridge, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Denturist
Credential: LD
Enumeration Date: Jul 10, 2019
Last Updated: Jul 10, 2019

Practice Location

Address: 142 RIVER VISTA PL
City: Twin Falls
State: Idaho
ZIP Code: 83301-3056
Phone: (208) 734-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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