Image Dental Eagle LLC

NPI #1609997675 in Eagle, Colorado

Provider Information

NPI Number: 1609997675
Entity Type: Organization
Organization Name: Image Dental Eagle LLC
Primary Specialty: Dentist
Enumeration Date: Apr 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 56 MARKET ST
Address 2: SUITE #5
City: Eagle
State: Colorado
ZIP Code: 81631
Phone: (970) 328-1116

Authorized Official

Name: MRS. AMY A MERYHEW, RDH
Title: PARTNER
Phone: (970) 328-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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