Organization
GALEN K. HAAS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GALEN K HAAS DDS (PRESIDENT)
(208) 746-0431
Entity
Organization
Contact information
Practice address
1639 23RD AVE, LEWISTON, ID 83501-6308
(208) 746-0431
(208) 746-2766
Mailing address
1639 23RD AVE, LEWISTON, ID 83501-6308
(208) 746-0431
(208) 746-2766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-1000
ID
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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