PHILIP WILLIAM GERVAIS

SANDPOINT, ID
NPI1760576920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D1748)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
PHILIP WILLIAM GERVAIS DDS
2005 W PINE ST
SANDPOINT, ID 83864-9324
Phone number: 208-263-8535
Mailing Address
PHILIP WILLIAM GERVAIS DDS
2005 W PINE ST
SANDPOINT, ID 83864-9324
Phone number: 208-263-8535