GALEN KENT HAAS

LEWISTON, ID
NPI1407100712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  66D1553)
Enumeration Date2012-11-08
Last Update Date2012-11-08
Business Address
-- GALEN KENT HAAS DDS
1639 23RD AVE
LEWISTON, ID 83501-6308
Phone number: 208-746-0431
Mailing Address
-- GALEN KENT HAAS DDS
1639 23RD AVE
LEWISTON, ID 83501-6308
Phone number: 208-746-0431