Individual
CAMERON RAY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1607 US-2, SANDPOINT, ID 83864
(208) 265-1705
Mailing address
1607 US-2, SANDPOINT, ID 83864
(208) 265-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5645
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2024
Last updated
06/30/2024
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