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Galen Kent Haas, DDS

Dentist in Lewiston, ID. Individual provider (NPI-1).

NPI number1407100712
StatusActive
Last updated in NPPESNov 8, 2012

Details

NPI
1407100712
Entity type
Individual (NPI-1)
Name
Galen Kent Haas
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 8, 2012
Last updated
Nov 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist66D1553IDYes

Practice location

1639 23rd Ave
Lewiston, ID 83501-6308

Phone 208-746-0431 · Fax 208-746-2766

Mailing address

1639 23rd Ave
Lewiston, ID 83501-6308

Phone 208-746-0431 · Fax 208-746-2766

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