| NPI | 1942741681 |
|---|---|
| Doing Business As | KIDDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MORGEN LYN BYBEE Owner/Pediatric Dentist 208-478-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: ID D-4380-PD) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |