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Individual

GILBERT H SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
577 E STATE ST, EAGLE, ID 83616-5938
(208) 939-0611
Mailing address
PO BOX 577, EAGLE, ID 83616-0577
(208) 939-0611

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1574
ID

Other

Enumeration date
11/21/2006
Last updated
07/08/2007
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