Individual
DR. RUDOLF GUSTAV HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
616 E. MAIN STREET, CHEWELAH, WA 99109
(509) 935-8642
(509) 935-4103
Mailing address
PO BOX 68, COCOLALLA, ID 83813-0068
(208) 699-6419
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7164
WA
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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