Dan Streeby, D.d.s.

NPI #1861015653 in Eagle, Idaho

Provider Information

NPI Number
1861015653
Entity Type
Organization
Organization Name
Dan Streeby, D.d.s.
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
May 27, 2020
Last Updated
May 27, 2020

Practice Location

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

Authorized Official

Name
DR. DAN ROBERT STREEBY, DDS
Title
OWNER
Phone
(208) 939-0600

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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