Individual
DR. CHASE BINGHAM TREJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2275 S EAGLE RD STE 140, MERIDIAN, ID 83642
(208) 215-7449
Mailing address
9309 S COPELAND WAY, KUNA, ID 83634-4805
(512) 484-2913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5025
ID
Other
Enumeration date
03/21/2018
Last updated
08/06/2019
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