| NPI | 1205330420 |
|---|---|
| Doing Business As | THE KIDS DENTIST AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOEL E WHITT President 208-631-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: ID D3868-PD) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |