Kidds Dental | |
716 Yellowstone Ave Pocatello ID 83201-4407 | |
(208) 478-5437 | |
(208) 232-5490 |
Full Name | Kidds Dental |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 716 Yellowstone Ave, Pocatello, Idaho |
Authorized Official Name and Position | Morgen Lyn Bybee (OWNER/PEDIATRIC DENTIST) |
Authorized Official Contact | 2084785437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kidds Dental 716 Yellowstone Ave Pocatello ID 83201-4407 Ph: (208) 478-5437 | Kidds Dental 716 Yellowstone Ave Pocatello ID 83201-4407 Ph: (208) 478-5437 |
NPI Number | 1942741681 |
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Provider Enumeration Date | 03/14/2017 |
Last Update Date | 03/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942741681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | D-4380-PD (Idaho) | Primary |
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