DR. KATHERINE DIVINE, D.D.S.

Dentist

Active Individual
NPI: 1487093704

Practice Address

1311 E CENTRAL DR
Meridian, ID 83642

Phone: (208) 373-1860

Specialties

Specialty Code Primary License
Dentist 122300000X Yes D-4500-SS (ID)

Frequently Asked Questions

NPI 1487093704 is the National Provider Identifier for DR. KATHERINE DIVINE, D.D.S., a Dentist provider located in Meridian, ID. This NPI was enumerated on June 19, 2013.
DR. KATHERINE DIVINE, D.D.S. practices at 1311 E CENTRAL DR, Meridian, ID 83642.

Quick Facts

NPI
1487093704
Type
Individual
Enumerated
Jun 19, 2013
Last Updated
Jun 19, 2013

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