NPI 1093165524

Cody Waid, LD

Practitioner Denturist Meridian, ID

Practice location

Address: 1833 N Lakes Pl, Meridian, ID 83646-1921
Phone: (208) 346-1887
Mailing address: 505 1st St STE a, Idaho Falls, ID 83401-3929

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence LD-111 (ID)

Other Denturist providers in Idaho →

Registry record

NPI: 1093165524
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2016
Record last updated: 15 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.