Individual
NATHAN P HARWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6144 BIRCH LN, NAMPA, ID 83687-4148
(208) 936-7111
(208) 461-4013
Mailing address
6144 BIRCH LN, NAMPA, ID 83687-4148
(208) 936-7111
(208) 461-4013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4914
ID
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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