Individual
NATHAN A CATMULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
502 8TH ST, RUPERT, ID 83350-1417
(208) 436-4747
(208) 436-9683
Mailing address
502 8TH ST, RUPERT, ID 83350-1417
(208) 436-4747
(208) 436-9683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4143
ID
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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