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1760576920
PHILIP WILLIAM GERVAIS
SANDPOINT, ID
NPI
1760576920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D1748)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
PHILIP WILLIAM GERVAIS DDS
2005 W PINE ST
SANDPOINT, ID 83864-9324
Phone number: 208-263-8535
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Mailing Address
PHILIP WILLIAM GERVAIS DDS
2005 W PINE ST
SANDPOINT, ID 83864-9324
Phone number: 208-263-8535
Copy
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