Eagle Rock Dental Care Arco Pllc

NPI #1457608671 in Arco, Idaho

Provider Information

NPI Number: 1457608671
Entity Type: Organization
Organization Name: Eagle Rock Dental Care Arco Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 7, 2012
Last Updated: Mar 14, 2014

Practice Location

Address: 520 HIGHLAND DR.
City: Arco
State: Idaho
ZIP Code: 83213
Phone: (208) 527-3472

Authorized Official

Name: TRUDEE L CHAPPLE
Title: OFFICE ADMINISTRATOR
Phone: (208) 523-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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