Organization
THE KIDS' DENTIST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE WAYNE MEADORS D.M.D. (OWNER/MEMBER)
(208) 938-6343
Entity
Organization
Contact information
Practice address
2300 W EVEREST LN, SUITE 125, MERIDIAN, ID 83646-5925
(208) 938-6343
(208) 884-5048
Mailing address
2300 W EVEREST LN, SUITE 125, MERIDIAN, ID 83646-5925
(208) 938-6343
(208) 884-5048
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D3120PD
ID
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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