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Individual

DR. PATRICK A NILAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
1609 12TH AVE RD, NAMPA, ID 83686-6102
(208) 467-5259
(208) 466-3741
Mailing address
1609 12TH AVE RD, NAMPA, ID 83686-6102
(208) 467-5259
(208) 466-3741

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D3235OR
ID

Other

Enumeration date
09/16/2006
Last updated
03/14/2013
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