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Individual

CHRISTIAN PUTEGNAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1217 E IRON EAGLE DR, EAGLE, ID 83616-6599
(208) 228-7093
Mailing address
1217 E IRON EAGLE DR, EAGLE, ID 83616-6599

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7271061
ID

Other

Enumeration date
06/07/2025
Last updated
03/25/2026
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