Nicholas Sander

NPI #1366800583 in Buhl, Idaho

Provider Information

NPI Number: 1366800583
Entity Type: Individual
Name: Nicholas Sander
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Denturist
Enumeration Date: Feb 2, 2016
Last Updated: Feb 2, 2016

Practice Location

Address: 124 11TH AVE N
City: Buhl
State: Idaho
ZIP Code: 83316-1602
Phone: (208) 543-2747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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