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Individual

DR. NATHANIEL DAVID CROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS DDS

Contact information

Practice address
301 S DIVISION AVE, SANDPOINT, ID 83864-2737
(208) 773-1860
Mailing address
301 S DIVISION AVE, SANDPOINT, ID 83864-2737
(208) 773-1860

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D1772OR
ID

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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