Individual
HARRISON A HAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11136 MOSS LN, NAMPA, ID 83651-8015
(208) 466-0515
(205) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5551
ID
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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