EAGLE ROCK DENTAL CARE PLLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1326395385- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2205 CHANNING WAY STE B, IDAHO FALLS, ID, 834048016
- Phone
- (208) 529-3660
- Fax
- (208) 529-3666
Specialties & Taxonomies
Dentist, General Practice
License: ID #D4138
Dentist, General Practice
License: ID #D1890
Dentist, General Practice
License: ID #D4036
Dentist, General Practice
License: ID #D4369
Dentist, General Practice
License: ID #D1608
Dentist, General Practice
Primary License: ID #D3063