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Eagle River Dentistry
Dental Clinic/Center in Eagle, Idaho
NPI 1972762342

Eagle River Dentistry is a Dental Clinic/Center based in Eagle, ID and is specialized in Dental. Eagle River Dentistry practices in Eagle, ID. The NPI Number for Eagle River Dentistry is 1972762342 and holds a License No. D-3666 (Idaho).

The current practice location address for Eagle River Dentistry is 325 E Shore Dr, Eagle, ID and can be reached out via phone at 208-938-0280. You can also correspond with Eagle River Dentistry through the mailing address at 325 E SHORE DR, EAGLE, ID - 83616-6583 (mailing address contact number: 208-938-0280).

Location: 325 E Shore Dr, Eagle, ID, 83616-6583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972762342
Provider Name
Eagle River Dentistry
Credential
Provider Entity Type
Organization
Address
325 E Shore Dr, Eagle, ID, 83616-6583
Phone Number
208-938-0280
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 E Shore Dr
City
Eagle
State
Idaho
Zip
83616-6583
Phone Number
208-938-0280
Fax Number
person
Provider Business Mailing Address Details
Address
325 E Shore Dr
City
Eagle
State
Idaho
Zip
83616-6583
Phone Number
208-938-0280
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D-3666 (Idaho)
Definition
Definition to come...
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