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Cody Waid, LD
Denturist in Meridian, Idaho
NPI 1093165524

Cody Waid is a Denturist based in Idaho Falls, ID. Cody Waid practices in Meridian, ID and has the professional credentials of LD. The NPI Number for Cody Waid is 1093165524 and holds a License No. LD-111 (Idaho).

The current practice location address for Cody Waid is 1833 N Lakes Pl, Meridian, ID and can be reached out via phone at 208-346-1887. You can also correspond with Cody Waid through the mailing address at 505 1ST ST STE A, IDAHO FALLS, ID - 83401-3929 (mailing address contact number: 208-346-1887).

Location: 1833 N Lakes Pl, Meridian, ID, 83401-3929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093165524
Provider Name
Cody Waid
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
1833 N Lakes Pl, Meridian, ID, 83401-3929
Phone Number
208-346-1887
Fax Number
Provider Enumeration Date
06/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1833 N Lakes Pl
City
Meridian
State
Idaho
Zip
83646-1921
Phone Number
208-346-1887
Fax Number
person
Provider Business Mailing Address Details
Address
1833 N Lakes Pl
City
Meridian
State
Idaho
Zip
83646-1921
Phone Number
208-346-1887
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
LD-111 (Idaho)
Definition
Definition to come.
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