DR. Ryan T Kidman, DDS

NPI #1033280136 in Idaho Falls, Idaho

Provider Information

NPI Number
1033280136
Entity Type
Individual
Name
DR. Ryan T Kidman, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Nov 11, 2006
Last Updated
Jun 7, 2023

Practice Location

Address
139 ALTURAS ST
State
Idaho
ZIP Code
83401-4309
Phone
(208) 523-5090

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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