Kirby Clendenon DDS

NPI #1407957897 in Caldwell, Idaho

Provider Information

NPI Number
1407957897
Entity Type
Organization
Organization Name
Kirby Clendenon DDS
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1711 S 10TH AVE
State
Idaho
ZIP Code
83605-4839
Phone
(208) 954-9217

Authorized Official

Name
KIRBY L CLENDENON, DDS
Title
PRESIDENT
Phone
(208) 454-9217

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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