Colton Charles, DMD

NPI #1073826772 in Eagle, Idaho

Provider Information

NPI Number: 1073826772
Entity Type: Individual
Name: Colton Charles, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 22, 2010
Last Updated: Jun 17, 2020

Practice Location

Address: 450 W STATE ST STE 180
City: Eagle
State: Idaho
ZIP Code: 83616-6974
Phone: (208) 939-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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