EVAN HATHAWAY

EAGLE, ID
NPI1033455019
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D2040)
Enumeration Date2012-12-20
Last Update Date2012-12-20
Business Address
Dr. EVAN HATHAWAY DDS
1217 E IRON EAGLE DR
EAGLE, ID 83616-6599
Phone number: 208-377-1161
Mailing Address
Dr. EVAN HATHAWAY DDS
1217 E IRON EAGLE DR
EAGLE, ID 83616-6599
Phone number: 208-377-1161
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