Channing Way Dental Dba Lost Rivers Dental | |
520 Highland Drive Arco ID 83213 | |
(208) 527-3472 | |
(208) 527-8955 |
Full Name | Channing Way Dental Dba Lost Rivers Dental |
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Speciality | Dentist - General Practice |
Location | 520 Highland Drive, Arco, Idaho |
Authorized Official Name and Position | Corey Christense (PARTNER) |
Authorized Official Contact | 2085273472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Channing Way Dental Dba Lost Rivers Dental Po Box 5 Arco ID 83213-0005 Ph: (208) 527-3472 | Channing Way Dental Dba Lost Rivers Dental 520 Highland Drive Arco ID 83213 Ph: (208) 527-3472 |
NPI Number | 1588786875 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 03/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588786875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D3703 (Idaho) | Primary |
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Eagle Rock Dental Care Arco Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Highland Dr., Arco, ID 83213 Phone: 208-527-3472 |