NATHAN GARY BOURASSA

POST FALLS, ID
NPI1669662995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-4076)
Enumeration Date2007-08-01
Last Update Date2007-08-01
Business Address
DR. NATHAN GARY BOURASSA DDS
105 E 10TH AVE STE B
POST FALLS, ID 83854-5125
Phone number: 208-773-8388
Mailing Address
DR. NATHAN GARY BOURASSA DDS
105 E 10TH AVE STE B
POST FALLS, ID 83854-5125
Phone number: 208-773-8388
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