Ikdo Emmett LLC

NPI #1194369371 in Emmett, Idaho

Provider Information

NPI Number
1194369371
Entity Type
Organization
Organization Name
Ikdo Emmett LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Oct 31, 2019
Last Updated
Oct 31, 2019

Practice Location

Address
314 S WASHINGTON AVE
City
Emmett
State
Idaho
ZIP Code
83617-2952
Phone
(208) 999-4999

Authorized Official

Name
LORIE A HURST
Title
BOOKKEEPER
Phone
(208) 283-7634

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist - Pediatric DentistryPediatric Dentistry

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