LOREN ROSS HARTLEY

NAMPA, ID
NPI1528158862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D3288)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
LOREN ROSS HARTLEY DMD
1705 12TH AVE RD
NAMPA, ID 83686
Phone number: 208-466-6600
Mailing Address
LOREN ROSS HARTLEY DMD
1705 12TH AVE RD
NAMPA, ID 83686
Phone number: 208-466-6600