Rustin G Hawker, DDS

NPI #1912569732 in Middleton, Idaho

Provider Information

NPI Number: 1912569732
Entity Type: Individual
Name: Rustin G Hawker, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 1, 2019
Last Updated: Dec 16, 2024

Practice Location

Address: 509 S MIDDLETON RD STE 101
City: Middleton
State: Idaho
ZIP Code: 83644-6047
Phone: (208) 921-5420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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