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Mark William Hawn, DDS Valid NPI

Individual provider · General Practice Dentistry · Sandpoint, ID

NPI
1457580763
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
D-4226 (ID)
Sex
Male
Sole proprietor
No
Enumerated
2009-07-08
Last updated
2023-08-31
Practice location
2025 Pine St
Sandpoint, ID 83864-9327
(208) 265-4558

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