NATHAN BOURASSA DDS PA
Dentist
Active
Organization
NPI: 1588077598
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | D4076 (ID) |
Frequently Asked Questions
NPI 1588077598 is the National Provider Identifier for NATHAN BOURASSA DDS PA, a Dentist provider located in Coeur D Alene, ID. This NPI was enumerated on June 6, 2014.
Quick Facts
- NPI
- 1588077598
- Type
- Organization
- Enumerated
- Jun 6, 2014
- Last Updated
- Jun 6, 2014
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