Galen Kent Haas, DDS

NPI #1407100712 in Lewiston, Idaho

Provider Information

NPI Number: 1407100712
Entity Type: Individual
Name: Galen Kent Haas, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 8, 2012
Last Updated: Nov 8, 2012

Practice Location

Address: 1639 23RD AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-6308
Phone: (208) 746-0431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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