Dan Streeby, DDS

NPI #1396795068 in Eagle, Idaho

Provider Information

NPI Number
1396795068
Entity Type
Individual
Name
Dan Streeby, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
May 11, 2006
Last Updated
Jan 2, 2008

Practice Location

Address
450 W STATE ST
Address 2
STE 180
City
Eagle
State
Idaho
ZIP Code
83616-6974
Phone
(208) 939-0600

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - Pediatric DentistryPediatric Dentistry

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