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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IKDO FRUITLAND LLC

Active Organization

IKDO FRUITLAND LLC is a Pediatric Dentistry organization located in FRUITLAND, Idaho. NPI 1184108706 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · FRUITLAND, ID

Registration Details

NPI Number
1184108706
Provider Type
Organization
NPI Issued
Sep 19, 2018 (7.9322387348832 yrs)
Last Updated
Apr 16, 2019

Practice Information

Address
1619 N WHITLEY DR
FRUITLAND, ID, 836192162
Browse ID providers · Browse ZIP 83619
Phone
2084524444
Fax
2084523322
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Organizations in FRUITLAND, ID

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.