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Nathan Bourassa, DDS
NPI 1669662995 · on the registry since 2007 · sole proprietor
Practice
- Address
- 105 E 10th Ave Ste B
Post Falls, ID 83854 - Phone
- (208) 773-8388
- Fax
- (208) 777-0346
- Organisation at this address
- Toothacres Dental Inc.
R.C. Enterprise, P.L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho