Ikdo State Street LLC
Ikdo State Street LLC is a Pediatric Dentistry in Garden City, Idaho. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9209 W State StGarden City, ID 83714
Phone: (208) 388-1111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X |
|---|---|
| Pediatric Dentistry | Taxonomy 1223P0221X |
Record details
| NPI number | 1932683752 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jaycie Birch — Office Manager · (208) 388-1111 |
| NPI enumerated | September 18, 2018 |
| Last updated in NPPES | September 18, 2018 |
| Mailing address | 9209 W State St, Garden City, ID 83714 |