Organization
JENDY PLLC
Active
Other names
The KIds Dentist and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL E WHITT DMD (PRESIDENT)
(208) 631-2212
Entity
Organization
Contact information
Practice address
2300 W EVEREST LN STE 125, MERIDIAN, ID 83646-6113
(208) 938-6343
Mailing address
3235 N TOWERBRIDGE WAY STE 200, MERIDIAN, ID 83646-5721
(208) 888-7711
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D3868-PD
ID
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
ID
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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