Organization
MORGEN BYBEE DDS PA
Active
Other names
KiDDS Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORGEN LYN BYBEE D.D.S (OWNER/PEDIATRIC DENTIST)
(208) 478-5437
Entity
Organization
Contact information
Practice address
716 YELLOWSTONE AVE, POCATELLO, ID 83201-4407
(208) 478-5437
(208) 232-5490
Mailing address
716 YELLOWSTONE AVE, POCATELLO, ID 83201-4407
(208) 478-5437
(208) 232-5490
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-4380-PD
ID
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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