Channing Way Dental Dba Lost Rivers Dental
Channing Way Dental Dba Lost Rivers Dental is a General Practice Dentistry in Arco, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
520 Highland DrArco, ID 83213
Phone: (208) 527-3472
Fax: (208) 527-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D3703 (ID) |
|---|
Record details
| NPI number | 1588786875 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Corey Christense — Partner · (208) 527-3472 |
| NPI enumerated | April 6, 2007 |
| Last updated in NPPES | March 25, 2008 |
| Mailing address | Po Box 5, Arco, ID 83213-0005 |