Individual
DR. WALTER DAN HAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4603 SKYWAY ST., SUITE 101, CALDWELL, ID 83605
(208) 454-3114
(208) 454-3173
Mailing address
W. DAN HAUSER, 4603 SKYWAY ST., SUITE 101, CALDWELL, ID 83605
(208) 454-3114
(208) 454-3173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3261
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805741000
—
ID
Enumeration date
08/18/2006
Last updated
08/14/2023
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