| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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 |