MRS. Evie L Gardipe

NPI #1700874567 in Plummer, Idaho

Provider Information

NPI Number: 1700874567
Entity Type: Individual
Name: MRS. Evie L Gardipe
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dental Assistant
Enumeration Date: Oct 6, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1115 B ST
City: Plummer
State: Idaho
ZIP Code: 83851-0388
Phone: (208) 686-1931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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