Individual provider · Type 1 NPI

Nathan Gary Bourassa, DDS

General Practice Dentistry · Post Falls, ID

NPI number 1669662995 Active

About NPI 1669662995

Nathan Gary Bourassa, DDS's National Provider Identifier is 1669662995, issued on Aug 1, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Post Falls, ID. The record was last updated on Aug 1, 2007.