GERALD A WOODWORTH

RUPERT, ID
NPI1053341644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-1363)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
Dr. GERALD A WOODWORTH D.M.D.
301 SCOTT AVE
RUPERT, ID 83350-1800
Phone number: 208-436-6406
Mailing Address
Dr. GERALD A WOODWORTH D.M.D.
PO BOX 338
RUPERT, ID 83350-0338
Phone number: 208-436-6406
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