NPI 1063064053

Kyrsten M Wooldridge, LD

Practitioner Denturist Twin Falls, ID

Practice location

Address: 142 River Vista Pl, Twin Falls, ID 83301-3056
Phone: (208) 734-7246

Registered specialties (3)

Denturist Primary

Dental Providers Taxonomy 122400000X Licence LD-118 (ID)

Other Denturist providers in Idaho →

Denturist

Dental Providers Taxonomy 122400000X Licence 118 (ID)

Denturist

Dental Providers Taxonomy 122400000X

Registry record

NPI: 1063064053
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2019
Record last updated: 10 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.