Castlebury Dental PC

NPI #1881835353 in Eagle, Idaho

Provider Information

NPI Number: 1881835353
Entity Type: Organization
Organization Name: Castlebury Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 13, 2009
Last Updated: Mar 13, 2009

Practice Location

Address: 3209 W. BAVARIA ST.
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (208) 855-0080

Authorized Official

Name: JENNIFER WEBSTER
Title: OFFICE MANAGER
Phone: (208) 855-0080

Specialties & Taxonomy Codes

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

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