DR. Kenneth Charles Prince, DDS

NPI #1114967098 in Council, Idaho

Provider Information

NPI Number: 1114967098
Entity Type: Individual
Name: DR. Kenneth Charles Prince, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 7, 2006
Last Updated: Sep 13, 2012

Practice Location

Address: 205 N BERKLEY AVE
City: Council
State: Idaho
ZIP Code: 83612
Phone: (208) 253-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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