Philip William Gervais, DDS

NPI #1760576920 in Sandpoint, Idaho

Provider Information

NPI Number
1760576920
Entity Type
Individual
Name
Philip William Gervais, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Oct 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2005 W PINE ST
State
Idaho
ZIP Code
83864-9324
Phone
(208) 263-8535

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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