| NPI | 1114067105 |
|---|---|
| Doing Business As | KIDDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | LARRY W BYBEE Owner 208-478-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: ID D1664) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-11-30 |