IKDO STATE STREET LLC
Organization (NPI-2)
Active
Dentist, Orthodontics and Dentofacial Orthopedics
Provider Information
- NPI Number
1932683752- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 9209 W STATE ST, GARDEN CITY, ID, 83714
- Phone
- (208) 388-1111
Specialties & Taxonomies
Dentist, Pediatric Dentistry
Dentist, Orthodontics and Dentofacial Orthopedics
Primary