| Castlebury Dental Pc | |
|
3209 W. Bavaria St. Eagle ID 83616 | |
| (208) 855-0080 | |
| (208) 855-2582 |
| Full Name | Castlebury Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3209 W. Bavaria St., Eagle, Idaho |
| Authorized Official Name and Position | Jennifer Webster (OFFICE MANAGER) |
| Authorized Official Contact | 2088550080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castlebury Dental Pc 3209 W. Bavaria St. Eagle ID 83616 Ph: (208) 855-0080 | Castlebury Dental Pc 3209 W. Bavaria St. Eagle ID 83616 Ph: (208) 855-0080 |
| NPI Number | 1881835353 |
|---|---|
| Provider Enumeration Date | 03/13/2009 |
| Last Update Date | 03/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881835353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3724 (Idaho) | Primary |
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