DR. Robert L Fackrell, DDS

NPI #1215072798 in Pocatello, Idaho

Provider Information

NPI Number
1215072798
Entity Type
Individual
Name
DR. Robert L Fackrell, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Feb 21, 2007
Last Updated
Jan 13, 2015

Practice Location

Address
415 N 3RD AVE STE A
State
Idaho
ZIP Code
83201-6306
Phone
(208) 233-2355

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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