Eagle River Dentistry
NPI #1821262361 in Edwards, Colorado
Provider Information
- NPI Number
- 1821262361
- Entity Type
- Organization
- Organization Name
- Eagle River Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 16, 2008
- Last Updated
- Apr 16, 2008
Practice Location
Authorized Official
- Name
- DR. SHELLY SUZANNE RAICHART, DDS
- Title
- CEO
- Phone
- (970) 926-1519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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