Organization
PEGGY J TREBILCOCK DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY J TREBILCOCK DDS (DENTIST)
(208) 782-0242
Entity
Organization
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
D3133
ID
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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