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Organization
EAGLE NATURAL DENTISTRY LLC
Active
Organization
EAGLE NATURAL DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIEDI HANNA WOOD (OFFICE MANAGER)
(406) 200-5239
Entity
Organization
Contact information
Practice address
700 E STATE ST STE 100, EAGLE, ID 83616-5941
(208) 631-7485
Mailing address
700 E STATE ST STE 100, EAGLE, ID 83616-5941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/02/2026
Last updated
09/02/2026
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