Kevin Kohler D.m.d. PC

NPI #1750541173 in Boise, Idaho

Provider Information

NPI Number: 1750541173
Entity Type: Organization
Organization Name: Kevin Kohler D.m.d. PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 10, 2008
Last Updated: Jun 10, 2008

Practice Location

Address: 12426 W EXPLORER DR
Address 2: SUITE 210
City: Boise
State: Idaho
ZIP Code: 83713-1572
Phone: (208) 376-5499

Authorized Official

Name: DR. KEVIN LLOYD KOHLER, DMD
Title: OWNER
Phone: (208) 376-5499

Specialties & Taxonomy Codes

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

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