| Ikdo Emmett Llc | |
|
314 S Washington Ave Emmett ID 83617-2952 | |
| (208) 999-4999 | |
| Not Available |
| Full Name | Ikdo Emmett Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 314 S Washington Ave, Emmett, Idaho |
| Authorized Official Name and Position | Lorie A Hurst (BOOKKEEPER) |
| Authorized Official Contact | 2082837634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikdo Emmett Llc 3289 N Towerbridge Way Meridian ID 83646-8347 Ph: (208) 884-4466 | Ikdo Emmett Llc 314 S Washington Ave Emmett ID 83617-2952 Ph: (208) 999-4999 |
| NPI Number | 1194369371 |
|---|---|
| Provider Enumeration Date | 10/31/2019 |
| Last Update Date | 10/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194369371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
D & A Wallace, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-3534 Fax: 208-365-6231 | |
Valley Family Health Care, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 E Locust St, Emmett, ID 83617 Phone: 208-365-5064 | |
Emmett Dental Group P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N Wardwell Ave, Emmett, ID 83617 Phone: 208-365-6313 | |
Black Canyon Dental P C Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 S Washington Ave, Emmett, ID 83617 Phone: 208-365-3860 | |
Elkins Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 S Washington Ave, Emmett, ID 83617 Phone: 208-369-4532 | |
Jeffrey L Henken Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 E Locust, Emmett, ID 83617 Phone: 208-365-5064 Fax: 208-365-4235 |