Organization · Type 2 NPI
Ikdo State Street LLC
Orthodontics and Dentofacial Orthopedics Dentistry · Garden City, ID
Practice location
9209 W State St
Garden City, ID 83714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | None listed |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1932683752
Ikdo State Street LLC's National Provider Identifier is 1932683752, issued on Sep 18, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Garden City, ID. The record was last updated on Sep 18, 2018.