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1407100712
GALEN KENT HAAS
LEWISTON, ID
NPI
1407100712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID 66D1553)
Enumeration Date
2012-11-08
Last Update Date
2012-11-08
Business Address
-- GALEN KENT HAAS DDS
1639 23RD AVE
LEWISTON, ID 83501-6308
Phone number: 208-746-0431
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Mailing Address
-- GALEN KENT HAAS DDS
1639 23RD AVE
LEWISTON, ID 83501-6308
Phone number: 208-746-0431
Copy
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