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Colton Charles, DMD
NPI 1073826772 · on the registry since 2010
Practice
- Address
- 450 W State St Ste 180
Eagle, ID 83616 - Phone
- (208) 939-0600
- Organisation at this address
- Mrc Llc
Kinesis, Llc
Dan Streeby, D.D.S.
Grange Ophthalmology, Pllc
Grange Surgery Center PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho