Organization
DENTAL ARTS OF EAGLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD H SHAINHOLTZ DDS (DENTIST)
(970) 328-6347
Entity
Organization
Contact information
Practice address
112 WEST 6TH STREET, EAGLE, CO 81631-0840
(970) 328-6347
(970) 328-6375
Mailing address
P.O. BOX 840, EAGLE, CO 81631
(970) 328-6347
(970) 328-6375
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5918
CO
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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