Individual
DR. CODY RAY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2275 S EAGLE RD, SUITE 140, MERIDIAN, ID 83642-5079
(208) 888-2000
(208) 888-1571
Mailing address
2275 S EAGLE RD, SUITE 140, MERIDIAN, ID 83642-5079
(208) 888-2000
(208) 888-1571
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4499
ID
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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