Loren R. Hartley, D.m.d., P.c.

NPI #1154586196 in Nampa, Idaho

Provider Information

NPI Number
1154586196
Entity Type
Organization
Organization Name
Loren R. Hartley, D.m.d., P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 18, 2008
Last Updated
Jul 18, 2008

Practice Location

Address
1705 12TH AVE RD
City
Nampa
State
Idaho
ZIP Code
83686-6104
Phone
(208) 466-6600

Authorized Official

Name
LOREN R. HARTLEY, D.M.D.
Title
PRESIDENT
Phone
(208) 466-6600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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