Organization
LOVELACE AND KIDO DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT H. KIDO DMD (OWNER)
(208) 467-7401
Entity
Organization
Contact information
Practice address
341 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-7401
Mailing address
341 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-7401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1804 AND D1941
ID
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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