Organization · Type 2 NPI

Ikdo South Meridian LLC

Pediatric Dentistry · Meridian, ID

NPI number 1174145684 Active

Practice location

3839 E Amity Rd
Meridian, ID 83642

Mailing address

3289 N Towerbridge Way
Meridian, ID 83646-8347

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1174145684

Ikdo South Meridian LLC's National Provider Identifier is 1174145684, issued on May 7, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Meridian, ID. The record was last updated on May 7, 2020.