Individual
DR. BERNARD RAY GAVRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
465 SAINT MICHAELS DR, STE 208, SANTA FE, NM 87505-7670
(505) 988-7356
(505) 992-8950
Mailing address
465 SAINT MICHAELS DR, STE 208, SANTA FE, NM 87505-7670
(505) 988-7356
(505) 992-8950
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D1620
NM
Other
Enumeration date
11/07/2005
Last updated
02/01/2011
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