| Peggy J Trebilcock Dds Pc | |
|
2407 Teeples Dr Blackfoot ID 83221-5877 | |
| (208) 782-0242 | |
| (208) 782-1160 |
| Full Name | Peggy J Trebilcock Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2407 Teeples Dr, Blackfoot, Idaho |
| Authorized Official Name and Position | Peggy J Trebilcock (DENTIST) |
| Authorized Official Contact | 2087820242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy J Trebilcock Dds Pc 2407 Teeples Dr Blackfoot ID 83221-5877 Ph: (208) 782-0242 | Peggy J Trebilcock Dds Pc 2407 Teeples Dr Blackfoot ID 83221-5877 Ph: (208) 782-0242 |
| NPI Number | 1477712966 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477712966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3133 (Idaho) | Primary |
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