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Organization

DR. ROBERT N. NAU, DDS, FAGD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NITA L WEEKS (RECEPTIONIST)
(509) 486-2902
Entity
Organization

Contact information

Practice address
202 SOUTH WHITCOMB AVE, TONASKET, WA 98855
(509) 486-2902
Mailing address
PO BOX 728, 202 S WHITCOMB AVE., TONASKET, WA 98855-0728
(509) 486-2902
(509) 486-2904

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005741
WA
1223G0001X
General Practice Dentistry
DE00011120
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235202672
TYPE 1-NPI
WA
01
1417144866
NPI TYPE1-DR. STEPHANIE STINSON
WA
01
DE00005741
WA STATE LICENSE NUMBER
WA
01
DE00011120
DR. STINSON STATE LICENSE
WA
Enumeration date
09/16/2008
Last updated
01/26/2009
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