IKDO SOUTH MERIDIAN LLC

MERIDIAN, ID
NPI1174145684
Entity TypeOrganization
Authorized ContactMICHAEL D PAYNE
Owner
208-884-4466
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Additional Taxonomies1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2020-05-07
Last Update Date2020-05-07
Business Address
IKDO SOUTH MERIDIAN LLC
3839 E AMITY RD
MERIDIAN, ID 83642
Phone number: 208-999-4999
Mailing Address
IKDO SOUTH MERIDIAN LLC
3289 N TOWERBRIDGE WAY
MERIDIAN, ID 83646-8347
Phone number: 208-884-4466