Ikdo South Meridian LLC
NPI #1174145684 in Meridian, Idaho
Provider Information
- NPI Number
- 1174145684
- Entity Type
- Organization
- Organization Name
- Ikdo South Meridian LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- May 7, 2020
- Last Updated
- May 7, 2020
Practice Location
Authorized Official
- Name
- MICHAEL D PAYNE, DMD
- Title
- OWNER
- Phone
- (208) 884-4466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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