Dr. NATHAN GARY BOURASSA -- DDS
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1669662995- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 105 E 10TH AVE STE B, POST FALLS, ID, 838545125
- Phone
- (208) 773-8388
- Fax
- (208) 777-0346
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #D-4076