Individual
PEGGY J TREBILCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2407 TEEPLES DR, BLACKFOOT, ID 83221-5877
(208) 782-0242
(208) 782-1160
Mailing address
2407 TEEPLES DR, BLACKFOOT, ID 83221-5877
(208) 782-0242
(208) 782-1160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3133
ID
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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